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Published in: Intensive Care Medicine 11/2015

Open Access 01-11-2015 | What's New in Intensive Care

What’s new in the management of severe acute pancreatitis?

Authors: Yannick Mallédant, Manu L. N. G. Malbrain, Daniel A. Reuter

Published in: Intensive Care Medicine | Issue 11/2015

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Excerpt

Acute pancreatitis (AP) is a leading cause of hospitalization for gastrointestinal disorders [1]. Because of a substantially high mortality of up to 20–30 % in severe cases, early identification of patients who might require transfer to an intensive care unit (ICU) is essential [2]. …
Literature
1.
go back to reference Peery AF, Dellon ES, Lund J, Crockett SD, McGowan CE, Bulsiewicz WJ, Gangarosa LM, Thiny MT, Stizenberg K, Morgan DR, Ringel Y, Kim HP, Dibonaventura MD, Carroll CF, Allen JK, Cook SF, Sandler RS, Kappelman MD, Shaheen NJ (2012) Burden of gastrointestinal diseases in the United States: 2012 update. Gastroenterology 143:1179–1187PubMedCentralCrossRefPubMed Peery AF, Dellon ES, Lund J, Crockett SD, McGowan CE, Bulsiewicz WJ, Gangarosa LM, Thiny MT, Stizenberg K, Morgan DR, Ringel Y, Kim HP, Dibonaventura MD, Carroll CF, Allen JK, Cook SF, Sandler RS, Kappelman MD, Shaheen NJ (2012) Burden of gastrointestinal diseases in the United States: 2012 update. Gastroenterology 143:1179–1187PubMedCentralCrossRefPubMed
2.
go back to reference Banks PA, Bollen TL, Dervenis C, Gooszen HG, Johnson CD, Sarr MG, Tsiotos GG, Vege SS, Acute Pancreatitis Classification Working Group (2013) Classification of acute pancreatitis 2012: revision of Atlanta classification and definition by international consensus. Gut 62:102–111CrossRefPubMed Banks PA, Bollen TL, Dervenis C, Gooszen HG, Johnson CD, Sarr MG, Tsiotos GG, Vege SS, Acute Pancreatitis Classification Working Group (2013) Classification of acute pancreatitis 2012: revision of Atlanta classification and definition by international consensus. Gut 62:102–111CrossRefPubMed
3.
go back to reference Mounzer R, Langmead CJ, Wu BU, Evans AC, Bishehsari F, Muddana V, Singh VK, Slivka A, Whitcomb DC, Yadav D, Banks PA, Papachristou GI (2012) Comparison of existing clinical scoring systems to predict persistent organ failure in patients with acute pancreatitis. Gastroenterology 142:1476–1482CrossRefPubMed Mounzer R, Langmead CJ, Wu BU, Evans AC, Bishehsari F, Muddana V, Singh VK, Slivka A, Whitcomb DC, Yadav D, Banks PA, Papachristou GI (2012) Comparison of existing clinical scoring systems to predict persistent organ failure in patients with acute pancreatitis. Gastroenterology 142:1476–1482CrossRefPubMed
4.
go back to reference Taguchi M, Kubo T, Yamamoto M, Muramatsu K, Yasunaga H, Horiguchi H, Fujimori K, Matsuda S, Fushimi K, Harada M (2014) Body mass index influences the outcome of acute pancreatitis: an analysis based on the Japanese administrative database. Pancreas 43:863–866CrossRefPubMed Taguchi M, Kubo T, Yamamoto M, Muramatsu K, Yasunaga H, Horiguchi H, Fujimori K, Matsuda S, Fushimi K, Harada M (2014) Body mass index influences the outcome of acute pancreatitis: an analysis based on the Japanese administrative database. Pancreas 43:863–866CrossRefPubMed
5.
go back to reference Nieminen A, Maksimow M, Mentula P, Kyhälä L, Kylänpää L, Puolakkainen P, Kemppainen E, Repo H, Salmi M (2014) Circulating cytokines in predicting development of severe acute pancreatitis. Crit Care 18:R104PubMedCentralCrossRefPubMed Nieminen A, Maksimow M, Mentula P, Kyhälä L, Kylänpää L, Puolakkainen P, Kemppainen E, Repo H, Salmi M (2014) Circulating cytokines in predicting development of severe acute pancreatitis. Crit Care 18:R104PubMedCentralCrossRefPubMed
6.
go back to reference Working Group IAP/APA Acute Pancreatitis Guidelines (2013) IAP/APA evidence-based guidelines for the management of acute pancreatitis. Pancreatology 13(Suppl 2):e1–e15 Working Group IAP/APA Acute Pancreatitis Guidelines (2013) IAP/APA evidence-based guidelines for the management of acute pancreatitis. Pancreatology 13(Suppl 2):e1–e15
7.
go back to reference Wall I, Badalov N, Baradarian R, Iswara K, Li JJ, Tenner S (2011) Decreased morbidity and mortality in patients with acute pancreatitis related to aggressive hydratation. Pancreas 40:547–550CrossRefPubMed Wall I, Badalov N, Baradarian R, Iswara K, Li JJ, Tenner S (2011) Decreased morbidity and mortality in patients with acute pancreatitis related to aggressive hydratation. Pancreas 40:547–550CrossRefPubMed
8.
go back to reference Mao EQ, Fei J, Peng YB, Huang J, Tang YQ, Zhang SD (2011) Rapid hemodilution is associated with increased sepsis and mortality among patients with severe acute pancreatitis. Chin Med J (Engl) 123:1639–1644 Mao EQ, Fei J, Peng YB, Huang J, Tang YQ, Zhang SD (2011) Rapid hemodilution is associated with increased sepsis and mortality among patients with severe acute pancreatitis. Chin Med J (Engl) 123:1639–1644
9.
go back to reference Trepte C, Bachmann K, Stork J, Friedheim TJ, Hinsch A, Goepfert MS, Mann O, Izbicki J, Goetz AE, Reuter DA (2013) The impact of early goal-directed fluid management on survival in an experimental model of severe acute pancreatitis. Intensive Care Med 39:717–726CrossRefPubMed Trepte C, Bachmann K, Stork J, Friedheim TJ, Hinsch A, Goepfert MS, Mann O, Izbicki J, Goetz AE, Reuter DA (2013) The impact of early goal-directed fluid management on survival in an experimental model of severe acute pancreatitis. Intensive Care Med 39:717–726CrossRefPubMed
10.
go back to reference Bachmann KA, Trepte CJ, Tomkötter L, Hinsch A, Stork J, Bergmann W, Heidelmann L, Strate T, Goetz AE, Reuter DA, Izbicki JR, Mann O (2014) Effects of thoracic epidural anesthesia on survival and microcirculation in severe acute pancreatitis: a randomized experimental trial. Crit Care 17:R281CrossRef Bachmann KA, Trepte CJ, Tomkötter L, Hinsch A, Stork J, Bergmann W, Heidelmann L, Strate T, Goetz AE, Reuter DA, Izbicki JR, Mann O (2014) Effects of thoracic epidural anesthesia on survival and microcirculation in severe acute pancreatitis: a randomized experimental trial. Crit Care 17:R281CrossRef
11.
go back to reference Yi F, Ge L, Zhao J, Lei Y, Zhou F, Chen Z, Zhu Y, Xia B (2012) Meta-analysis: total parenteral nutrition versus total enteral nutrition in predicted severe acute pancreatitis. Intern Med 51:523–530CrossRefPubMed Yi F, Ge L, Zhao J, Lei Y, Zhou F, Chen Z, Zhu Y, Xia B (2012) Meta-analysis: total parenteral nutrition versus total enteral nutrition in predicted severe acute pancreatitis. Intern Med 51:523–530CrossRefPubMed
12.
go back to reference Li JY, Yu T, Chen GC, Yuan YH, Zhong W, Zhao LN, Chen QK (2013) Enteral nutrition within 48 hours of admission improves clinical outcomes of acute pancreatitis by reducing complications: a meta-analysis. PLoS One 8:e64926PubMedCentralCrossRefPubMed Li JY, Yu T, Chen GC, Yuan YH, Zhong W, Zhao LN, Chen QK (2013) Enteral nutrition within 48 hours of admission improves clinical outcomes of acute pancreatitis by reducing complications: a meta-analysis. PLoS One 8:e64926PubMedCentralCrossRefPubMed
13.
go back to reference Bakker OJ, van Brunschot S, Besselink MG et al (2014) Early versus on-demand nasoenteric tube feeding in acute pancreatitis. N Engl J Med 371:1983–1993CrossRefPubMed Bakker OJ, van Brunschot S, Besselink MG et al (2014) Early versus on-demand nasoenteric tube feeding in acute pancreatitis. N Engl J Med 371:1983–1993CrossRefPubMed
14.
go back to reference Nally DM, Kelly EG, Clarke M, Ridgway P (2014) Nasogastric nutrition is efficacious in severe acute pancreatitis: a systematic review and meta-analysis. Br J Nutr 21:1–10 Nally DM, Kelly EG, Clarke M, Ridgway P (2014) Nasogastric nutrition is efficacious in severe acute pancreatitis: a systematic review and meta-analysis. Br J Nutr 21:1–10
15.
go back to reference van Santvoort HC, Besselink MG, Bakker OJ, Hofker HS, Boermeester MA, Dejong CH, van Goor H, Schaapherder AF, van Eijck CH, Bollen TL, van Ramshorst B, Nieuwenhuijs VB, Timmer R, Laméris JS, Kruyt PM, Manusama ER, van der Harst E, van der Schelling GP, Karsten T, Hesselink EJ, van Laarhoven CJ, Rosman C, Bosscha K, de Wit RJ, Houdijk AP, van Leeuwen MS, Buskens E, Gooszen HG, Dutch Pancreatitis Study Group (2010) A step-up approach or open necrosectomy for necrotizing pancreatitis. N Engl J Med 362:1491–1502CrossRefPubMed van Santvoort HC, Besselink MG, Bakker OJ, Hofker HS, Boermeester MA, Dejong CH, van Goor H, Schaapherder AF, van Eijck CH, Bollen TL, van Ramshorst B, Nieuwenhuijs VB, Timmer R, Laméris JS, Kruyt PM, Manusama ER, van der Harst E, van der Schelling GP, Karsten T, Hesselink EJ, van Laarhoven CJ, Rosman C, Bosscha K, de Wit RJ, Houdijk AP, van Leeuwen MS, Buskens E, Gooszen HG, Dutch Pancreatitis Study Group (2010) A step-up approach or open necrosectomy for necrotizing pancreatitis. N Engl J Med 362:1491–1502CrossRefPubMed
16.
go back to reference Mouli VP, Sreenivas V, Garg PK (2013) Efficacy of conservative treatment, without necrosectomy for infected pancreatitis necrosis: a systematic review and meta-analysis. Gastroenterology 144:333–340CrossRefPubMed Mouli VP, Sreenivas V, Garg PK (2013) Efficacy of conservative treatment, without necrosectomy for infected pancreatitis necrosis: a systematic review and meta-analysis. Gastroenterology 144:333–340CrossRefPubMed
17.
go back to reference Bakker OJ, van Santvoort HC, van Brunschot S, Geskus RB, Besselink MG, Bollen TL, van Eijck CH, Fockens P, Hazebroek EJ, Nijmeijer RM, Poley JW, van Ramshorst B, Vleggaar FP, Boermeester MA, Gooszen HG, Weusten BL, Timmer R, Dutch Pancreatitis Study Group (2012) Endoscopic transgastric vs surgical necrosectomy for infected necrotizing pancreatitis: a randomized trial. JAMA 307:1053–1061CrossRefPubMed Bakker OJ, van Santvoort HC, van Brunschot S, Geskus RB, Besselink MG, Bollen TL, van Eijck CH, Fockens P, Hazebroek EJ, Nijmeijer RM, Poley JW, van Ramshorst B, Vleggaar FP, Boermeester MA, Gooszen HG, Weusten BL, Timmer R, Dutch Pancreatitis Study Group (2012) Endoscopic transgastric vs surgical necrosectomy for infected necrotizing pancreatitis: a randomized trial. JAMA 307:1053–1061CrossRefPubMed
18.
go back to reference Signoretti M, Baccini F, Piciucchi M, Iannicelli E, Valente R, Zerboni G, Capurso G, Delle Fave G (2014) Repeated transabdominal ultrasonography is a simple and accurate strategy to diagnose a biliary etiology of acute pancreatitis. Pancreas 43:1106–1110CrossRefPubMed Signoretti M, Baccini F, Piciucchi M, Iannicelli E, Valente R, Zerboni G, Capurso G, Delle Fave G (2014) Repeated transabdominal ultrasonography is a simple and accurate strategy to diagnose a biliary etiology of acute pancreatitis. Pancreas 43:1106–1110CrossRefPubMed
20.
go back to reference Kirkpatrick AW, Roberts DJ, De Waele J, Jaeschke R, Malbrain ML, De Keulenaer B, Duchesne J, Bjorck M, Leppaniemi A, Ejike JC, Sugrue M, Cheatham M, Ivatury R, Ball CG, ReintamBlaser A, Regli A, Balogh ZJ, D’Amours S, Debergh D, Kaplan M, Kimball E, Olvera C, Pediatric Guidelines Sub-Committee for the World Society of the Abdominal Compartment Syndrome (2013) Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome. Intensive Care Med 39:1190–1206PubMedCentralCrossRefPubMed Kirkpatrick AW, Roberts DJ, De Waele J, Jaeschke R, Malbrain ML, De Keulenaer B, Duchesne J, Bjorck M, Leppaniemi A, Ejike JC, Sugrue M, Cheatham M, Ivatury R, Ball CG, ReintamBlaser A, Regli A, Balogh ZJ, D’Amours S, Debergh D, Kaplan M, Kimball E, Olvera C, Pediatric Guidelines Sub-Committee for the World Society of the Abdominal Compartment Syndrome (2013) Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome. Intensive Care Med 39:1190–1206PubMedCentralCrossRefPubMed
Metadata
Title
What’s new in the management of severe acute pancreatitis?
Authors
Yannick Mallédant
Manu L. N. G. Malbrain
Daniel A. Reuter
Publication date
01-11-2015
Publisher
Springer Berlin Heidelberg
Published in
Intensive Care Medicine / Issue 11/2015
Print ISSN: 0342-4642
Electronic ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-015-3903-1

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