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Pancreatitis bundles
Author(s) -
Mayumi Toshihiko,
Takada Tadahiro,
Hirata Koichi,
Yoshida Masahiro,
Sekimoto Miho,
Hirota Masahiko,
Kimura Yasutoshi,
Takeda Kazunori,
Amano Hodaka,
Wada Keita,
Gabata Toshifumi,
Arata Shinjyu,
Hirota Morihisa,
Yokoe Masamichi,
Kiriyama Seiki,
Shikata Satoru,
Shirai Kunihiro,
Nakayama Takeo,
Ohtomo Kuni,
Tanaka Masao,
Shimosegawa Tooru
Publication year - 2010
Publication title -
journal of hepato‐biliary‐pancreatic sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.63
H-Index - 60
eISSN - 1868-6982
pISSN - 1868-6974
DOI - 10.1007/s00534-009-0219-y
Subject(s) - pancreatitis , medicine , acute pancreatitis , intensive care medicine , gastroenterology
Clinical indicators set forth in the guidelines have been found to contribute to the improvement in compliance with the guidelines. On the other hand, it has been shown that clinical indicators are more effective when individual indicators are presented in the form of a bundle than when they are given separately. Accordingly, in the JPN Guidelines 2010 for management of acute pancreatitis, those indicators that are judged to be important on the basis of a recommendation classification of “A or B” are presented as a pancreatitis bundle. Each item includes assessment of severity after a diagnosis of pancreatitis has been made, differentiation of pathogenesis, management of gallstone‐induced pancreatitis, a sufficient dose of fluid replacement and monitoring, pain control, prophylactic administration of wide‐spectrum antibiotics and cholecystectomy following resolution of pancreatic symptoms caused by cholecystolithiasis. Hereafter, the efficacy of these indicators and the significance of their achievement should be examined carefully. Then, the assessment of the compliance rate with the guidelines as well as the assessment of the guidelines and pancreatitis itself should become possible.