It is intended that these guidelines will assist clinicians in the diagnosis and management of acute pancreatitis.
The specific aims of these guidelines are:-
(i) to assist the early diagnosis and treatment of acute pancreatitis.
(ii) to promote risk stratification enabling a uniform standard of care throughout the country.
(iii)to improve referral patterns for patients requiring complex monitoring, investigation or treatment.
In 1998 an expert committee in the UK set out guidelines for the management of acute pancreatitis. The World Congress of Gastroenterology also published guidelines for the management of acute pancreatitis following its Bangkok meeting in 2002. In addition, the International Association of Pancreatology has also prepared guidelines reflecting best practice which should allow comparative audits of the quality of patient care. These guidelines accurately reflect expert current practice and form the basis of this report.
Despite changes in the management of acute pancreatitis in recent years, morbidity remains high and mortality is approximately 10% in many series. No recent figures are available from Ireland. These guidelines aim to advise clinicians on the facilities required and the level of care necessary in the management of patients with pancreatitis. It is recognised, however, that the evidence base for many aspects of acute pancreatitis care is currently poor, hence, individual clinical judgement remains important.
Medicine and Health Sciences | Surgery
Grace P, Lee M, McEntee G, Mealy K, Murray FE. Management of Acute Pancreatitis Clinical Guidelines. Dublin: Royal College of Surgeons in Ireland, 2003.