Evaluation of prognostic score based on the Japanese criteria for the severity of acute pancreatitis. Part II. Prospective study

Takashi Higashiguchi, Yoshifumi Kawarada, Tatsushi Naganuma, Hiroki Taoka, Hajime Yokoi, Tsutomu Sekoguchi

Research output: Contribution to journalReview article

1 Citation (Scopus)

Abstract

From July 1994 to October 1995, a prospective study was conducted at the First Department of Surgery, Mie University School of Medicine, to assess the usefulness of a prognosis score based on the Japanese criteria for the severity of acute pancreatitis. Ten patients with severe acute pancreatitis were treated, and all had good outcomes there were no deaths. In selecting early treatment according to the scoring of severity, we suggest that when the prognosis score is 2 or more and the APACHE II score is 8 or more, gallstone pancreatitis should first be treated by biliary drainage, and non-gallstone pancreatitis by peritoneal lavage. When infected pancreatic necrosis is exhibited, surgery is indicated. Conservative therapy should be selected when the prognosis score is less than 2 and the APACHE II score is less than 8. We found that the prognosis score was useful for both determining the severity of acute pancreatitis and in selecting appropriate treatment.

Original languageEnglish
Pages (from-to)216-219
Number of pages4
JournalJournal of Hepato-Biliary-Pancreatic Surgery
Volume3
Issue number3
DOIs
Publication statusPublished - 01-01-1996

Fingerprint

Pancreatitis
Prospective Studies
APACHE
Peritoneal Lavage
Gallstones
Drainage
Necrosis
Medicine
Therapeutics

All Science Journal Classification (ASJC) codes

  • Surgery
  • Hepatology

Cite this

Higashiguchi, Takashi ; Kawarada, Yoshifumi ; Naganuma, Tatsushi ; Taoka, Hiroki ; Yokoi, Hajime ; Sekoguchi, Tsutomu. / Evaluation of prognostic score based on the Japanese criteria for the severity of acute pancreatitis. Part II. Prospective study. In: Journal of Hepato-Biliary-Pancreatic Surgery. 1996 ; Vol. 3, No. 3. pp. 216-219.
@article{5ab39002d50444fcbcda0a7f9fccc933,
title = "Evaluation of prognostic score based on the Japanese criteria for the severity of acute pancreatitis. Part II. Prospective study",
abstract = "From July 1994 to October 1995, a prospective study was conducted at the First Department of Surgery, Mie University School of Medicine, to assess the usefulness of a prognosis score based on the Japanese criteria for the severity of acute pancreatitis. Ten patients with severe acute pancreatitis were treated, and all had good outcomes there were no deaths. In selecting early treatment according to the scoring of severity, we suggest that when the prognosis score is 2 or more and the APACHE II score is 8 or more, gallstone pancreatitis should first be treated by biliary drainage, and non-gallstone pancreatitis by peritoneal lavage. When infected pancreatic necrosis is exhibited, surgery is indicated. Conservative therapy should be selected when the prognosis score is less than 2 and the APACHE II score is less than 8. We found that the prognosis score was useful for both determining the severity of acute pancreatitis and in selecting appropriate treatment.",
author = "Takashi Higashiguchi and Yoshifumi Kawarada and Tatsushi Naganuma and Hiroki Taoka and Hajime Yokoi and Tsutomu Sekoguchi",
year = "1996",
month = "1",
day = "1",
doi = "10.1007/BF02391018",
language = "English",
volume = "3",
pages = "216--219",
journal = "Journal of Hepato-Biliary-Pancreatic Sciences",
issn = "1868-6974",
publisher = "Springer Verlag",
number = "3",

}

Evaluation of prognostic score based on the Japanese criteria for the severity of acute pancreatitis. Part II. Prospective study. / Higashiguchi, Takashi; Kawarada, Yoshifumi; Naganuma, Tatsushi; Taoka, Hiroki; Yokoi, Hajime; Sekoguchi, Tsutomu.

In: Journal of Hepato-Biliary-Pancreatic Surgery, Vol. 3, No. 3, 01.01.1996, p. 216-219.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Evaluation of prognostic score based on the Japanese criteria for the severity of acute pancreatitis. Part II. Prospective study

AU - Higashiguchi, Takashi

AU - Kawarada, Yoshifumi

AU - Naganuma, Tatsushi

AU - Taoka, Hiroki

AU - Yokoi, Hajime

AU - Sekoguchi, Tsutomu

PY - 1996/1/1

Y1 - 1996/1/1

N2 - From July 1994 to October 1995, a prospective study was conducted at the First Department of Surgery, Mie University School of Medicine, to assess the usefulness of a prognosis score based on the Japanese criteria for the severity of acute pancreatitis. Ten patients with severe acute pancreatitis were treated, and all had good outcomes there were no deaths. In selecting early treatment according to the scoring of severity, we suggest that when the prognosis score is 2 or more and the APACHE II score is 8 or more, gallstone pancreatitis should first be treated by biliary drainage, and non-gallstone pancreatitis by peritoneal lavage. When infected pancreatic necrosis is exhibited, surgery is indicated. Conservative therapy should be selected when the prognosis score is less than 2 and the APACHE II score is less than 8. We found that the prognosis score was useful for both determining the severity of acute pancreatitis and in selecting appropriate treatment.

AB - From July 1994 to October 1995, a prospective study was conducted at the First Department of Surgery, Mie University School of Medicine, to assess the usefulness of a prognosis score based on the Japanese criteria for the severity of acute pancreatitis. Ten patients with severe acute pancreatitis were treated, and all had good outcomes there were no deaths. In selecting early treatment according to the scoring of severity, we suggest that when the prognosis score is 2 or more and the APACHE II score is 8 or more, gallstone pancreatitis should first be treated by biliary drainage, and non-gallstone pancreatitis by peritoneal lavage. When infected pancreatic necrosis is exhibited, surgery is indicated. Conservative therapy should be selected when the prognosis score is less than 2 and the APACHE II score is less than 8. We found that the prognosis score was useful for both determining the severity of acute pancreatitis and in selecting appropriate treatment.

UR - http://www.scopus.com/inward/record.url?scp=0344678936&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0344678936&partnerID=8YFLogxK

U2 - 10.1007/BF02391018

DO - 10.1007/BF02391018

M3 - Review article

AN - SCOPUS:0344678936

VL - 3

SP - 216

EP - 219

JO - Journal of Hepato-Biliary-Pancreatic Sciences

JF - Journal of Hepato-Biliary-Pancreatic Sciences

SN - 1868-6974

IS - 3

ER -