Confusion with the definition and diagnostic criteria for acute on chronic pancreatitis: review and recommendations
Publikation: Bidrag til tidsskrift › Review › Forskning › fagfællebedømt
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Confusion with the definition and diagnostic criteria for acute on chronic pancreatitis : review and recommendations. / Bouca-Machado, Tiago; Andrea-Ferreira, Patricia; Pedersen, Jan Bech; Mortensen, Michael Bau; Novovic, Srdan; Windsor, John A.; Olesen, Soren Schou; Drewes, Asbjorn Mohr.
I: Scandinavian Journal of Gastroenterology, 2024.Publikation: Bidrag til tidsskrift › Review › Forskning › fagfællebedømt
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TY - JOUR
T1 - Confusion with the definition and diagnostic criteria for acute on chronic pancreatitis
T2 - review and recommendations
AU - Bouca-Machado, Tiago
AU - Andrea-Ferreira, Patricia
AU - Pedersen, Jan Bech
AU - Mortensen, Michael Bau
AU - Novovic, Srdan
AU - Windsor, John A.
AU - Olesen, Soren Schou
AU - Drewes, Asbjorn Mohr
PY - 2024
Y1 - 2024
N2 - Objectives Chronic pancreatitis (CP) is a fibroinflammatory disease complicated by episodes of acute inflammation (acute on chronic pancreatitis (ACP)). This entity is common, variably defined and can reflect different pathological mechanisms that requires different interventions. The aim of this study is to conduct a systematic review of how ACP is described, defined and diagnosed in the literature. Methods A systematic search was conducted from January 1993 to June 2020. All articles that used a term to describe ACP in adults were reviewed and definitions and diagnostic criteria were sought. Results After reviewing 2271 abstracts, 848 articles included a term to describe ACP. The most common descriptions were 'acute on/in CP' (374), 'acute exacerbation of CP' (345) and 'flare(-up) of CP' (43). Among the 848 articles, 14 included a pragmatic definition of ACP, and only 2 papers stated diagnostic criteria. These covered both acute inflammation and acute exacerbation of chronic abdominal pain. Conclusion There is no universally accepted term, definition or diagnostic criteria for ACP. A consensus definition is needed to improve quality and comparability of future articles as well as clinical management.
AB - Objectives Chronic pancreatitis (CP) is a fibroinflammatory disease complicated by episodes of acute inflammation (acute on chronic pancreatitis (ACP)). This entity is common, variably defined and can reflect different pathological mechanisms that requires different interventions. The aim of this study is to conduct a systematic review of how ACP is described, defined and diagnosed in the literature. Methods A systematic search was conducted from January 1993 to June 2020. All articles that used a term to describe ACP in adults were reviewed and definitions and diagnostic criteria were sought. Results After reviewing 2271 abstracts, 848 articles included a term to describe ACP. The most common descriptions were 'acute on/in CP' (374), 'acute exacerbation of CP' (345) and 'flare(-up) of CP' (43). Among the 848 articles, 14 included a pragmatic definition of ACP, and only 2 papers stated diagnostic criteria. These covered both acute inflammation and acute exacerbation of chronic abdominal pain. Conclusion There is no universally accepted term, definition or diagnostic criteria for ACP. A consensus definition is needed to improve quality and comparability of future articles as well as clinical management.
KW - Acute pancreatitis
KW - chronic pancreatitis
KW - inflammation
KW - pancreas
KW - definition
KW - diagnosis
KW - ATLANTA CLASSIFICATION
KW - SEVERITY
KW - FIBROSIS
KW - PATIENT
KW - DIET
KW - PAIN
U2 - 10.1080/00365521.2022.2035811
DO - 10.1080/00365521.2022.2035811
M3 - Review
C2 - 35119346
JO - Scandinavian Journal of Gastroenterology
JF - Scandinavian Journal of Gastroenterology
SN - 0036-5521
ER -
ID: 316410315