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KMID : 0985520220270010012
Korean Journal of Pancreas and Biliary Tract
2022 Volume.27 No. 1 p.12 ~ p.21
Revised Clinical Practice Guideline of Korean Pancreatobiliary Association for Acute Pancreatitis: Severity Assessment
Jo Jung-Hyun

Jang Dong-Kee
Lee Sang-Hyub
Jung Min-Kyu
Lee Dong-Ho
Abstract
The severity of acute pancreatitis (AP) is classified into mild, moderately severe, and severe, considering the presence and duration of organ failure and local complications.
Since patients with AP show a large difference in mortality and morbidity according to AP severity, evaluation of the severity of patients with AP in the early stage is important for predicting the prognosis and determining treatment plans including transfer to the intensive care unit or advanced facilities. In order to evaluate the initial severity of AP, it is necessary to confirm the presence of organ failure and objective evaluation using imaging or clinical examinations. In this guideline, it is recommended that evaluation using various severity indices such as bedside index for severity in acute pancreatitis (BISAP), systemic inflammatory response syndrome (SIRS), and acute physiology and chronic health evaluation (APACHE)-II scores be considered.
KEYWORD
Practice guideline, Pancreatitis, Disease severity, Severity of Illness Index, Diagnostic imaging
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