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JPN Guidelines for the management of acute pancreatitis: treatment of gallstone‐induced acute pancreatitis
Author(s) -
Kimura Yasutoshi,
Takada Tadahiro,
Kawarada Yoshifumi,
Hirata Koichi,
Mayumi Toshihiko,
Yoshida Masahiro,
Sekimoto Miho,
Hirota Masahiko,
Takeda Kazunori,
Isaji Shuji,
Koizumi Masaru,
Satake Katsusuke,
Otsuki Makoto,
Matsuno Seiki
Publication year - 2006
Publication title -
journal of hepato‐biliary‐pancreatic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 0944-1166
DOI - 10.1007/s00534-005-1052-6
Subject(s) - gallstones , medicine , etiology , acute pancreatitis , pancreatitis , laparoscopic cholecystectomy , cholecystectomy , general surgery , gastroenterology , intensive care medicine
Gallstones, along with alcohol, are one of the primary etiological factors of acute pancreatitis, and knowledge of the etiology as well as the diagnosis and management of gallstones, is crucial for managing acute pancreatitis. Because of this, evidence regarding the management of gallstone‐induced pancreatitis in Japan was collected, and recommendation levels were established by comparing current clinical practices with optimal clinical practices. The JPN Guidelines for managing gallstone‐induced acute pancreatitis recommend two procedures: (1) an urgent endoscopic procedure should be performed in patients in whom biliary duct obstruction is suspected and in patients complicated by cholangitis (Recommendation A); and (2) after the attack of gallstone pancreatitis has subsided, a laparoscopic cholecystectomy should be performed during the same hospital stay (Recommendation B).