The Classification of Acute Pancreatitis: Current Status

Overview

Journal Intractable Rare Dis Res

Date 2014 Oct 25

PMID 25343085

Citations 1

Authors

Liang Mao

Yudong Qiu

Affiliations

Soon will be listed here.

Abstract

The Atlanta Classification of acute pancreatitis (AP) is widely accepted and has been used by physicians and radiologists since 1992. However, advances in knowledge of the disease process, improved imaging, and ever-changing treatment options have rendered some of its definitions ambiguous and highlighted the inadequacy of its classification of severity. This review discusses revision of the Atlanta Classification (2008) and it describes a new determinant-based classification (2012). In contrast to the Atlanta Classification, the revised version and new classification are based on evidence but still need to be developed through systematic review of new data and further international consultation.

Citing Articles

The positive effect of eugenol on acute pancreatic tissue injury: a rat experimental model.

Tsaroucha A, Kaldis V, Vailas M, Schizas D, Lambropoulou M, Papalois A Pan Afr Med J. 2021; 38:132.

PMID: 33912302 PMC: 8052617. DOI: 10.11604/pamj.2021.38.132.20202.

References

Sarner M, Cotton P . Classification of pancreatitis. Gut. 1984; 25(7):756-9. PMC: 1432589. DOI: 10.1136/gut.25.7.756. View

Petrakis I, Vrachassotakis N, Kogerakis N, Koutsoumpas V, Chalkiadakis G . Subacute pancreatic necrosis. Panminerva Med. 2001; 42(4):279-86. View

Dervenis C, Bassi C . Evidence-based assessment of severity and management of acute pancreatitis. Br J Surg. 2000; 87(3):257-8. DOI: 10.1046/j.1365-2168.2000.01348.x. View

Frossard J, Steer M, Pastor C . Acute pancreatitis. Lancet. 2008; 371(9607):143-52. DOI: 10.1016/S0140-6736(08)60107-5. View

Papachristou G, Papachristou D, Avula H, Slivka A, Whitcomb D . Obesity increases the severity of acute pancreatitis: performance of APACHE-O score and correlation with the inflammatory response. Pancreatology. 2006; 6(4):279-85. DOI: 10.1159/000092689. View

Petrov M, Chong V, Windsor J . Infected pancreatic necrosis: not necessarily a late event in acute pancreatitis. World J Gastroenterol. 2011; 17(27):3173-6. PMC: 3158390. DOI: 10.3748/wjg.v17.i27.3173. View

Bollen T, van Santvoort H, Besselink M, van Leeuwen M, Horvath K, Freeny P . The Atlanta Classification of acute pancreatitis revisited. Br J Surg. 2007; 95(1):6-21. DOI: 10.1002/bjs.6010. View

Petrov M, Windsor J . Classification of the severity of acute pancreatitis: how many categories make sense?. Am J Gastroenterol. 2009; 105(1):74-6. DOI: 10.1038/ajg.2009.597. View

Baron T, Morgan D, Vickers S, Lazenby A . Organized pancreatic necrosis: endoscopic, radiologic, and pathologic features of a distinct clinical entity. Pancreas. 1999; 19(1):105-8. View

10.

Forsmark C, Baillie J . AGA Institute technical review on acute pancreatitis. Gastroenterology. 2007; 132(5):2022-44. DOI: 10.1053/j.gastro.2007.03.065. View

11.

Lund H, Tonnesen H, Tonnesen M, Olsen O . Long-term recurrence and death rates after acute pancreatitis. Scand J Gastroenterol. 2006; 41(2):234-8. DOI: 10.1080/00365520510024133. View

12.

Petrov M, Vege S, Windsor J . Global survey of controversies in classifying the severity of acute pancreatitis. Eur J Gastroenterol Hepatol. 2012; 24(6):715-21. DOI: 10.1097/MEG.0b013e328351d340. View

13.

Dellinger E, Forsmark C, Layer P, Levy P, Maravi-Poma E, Petrov M . Determinant-based classification of acute pancreatitis severity: an international multidisciplinary consultation. Ann Surg. 2012; 256(6):875-80. DOI: 10.1097/SLA.0b013e318256f778. View

14.

Vege S, Chari S . Organ failure as an indicator of severity of acute pancreatitis: time to revisit the Atlanta classification. Gastroenterology. 2005; 128(4):1133-5. DOI: 10.1053/j.gastro.2005.02.059. View

15.

Sharma M, Banerjee D, Garg P . Characterization of newer subgroups of fulminant and subfulminant pancreatitis associated with a high early mortality. Am J Gastroenterol. 2007; 102(12):2688-95. DOI: 10.1111/j.1572-0241.2007.01446.x. View

16.

de-Madaria E, Soler-Sala G, Lopez-Font I, Zapater P, Martinez J, Gomez-Escolar L . Update of the Atlanta Classification of severity of acute pancreatitis: should a moderate category be included?. Pancreatology. 2010; 10(5):613-9. DOI: 10.1159/000308795. View

17.

Singer M, Gyr K, SARLES H . Revised classification of pancreatitis. Report of the Second International Symposium on the Classification of Pancreatitis in Marseille, France, March 28-30, 1984. Gastroenterology. 1985; 89(3):683-5. View

18.

Bollen T, Besselink M, van Santvoort H, Gooszen H, van Leeuwen M . Toward an update of the atlanta classification on acute pancreatitis: review of new and abandoned terms. Pancreas. 2007; 35(2):107-13. DOI: 10.1097/mpa.0b013e31804fa189. View

19.

Bradley 3rd E . A clinically based classification system for acute pancreatitis. Ann Chir. 1993; 47(6):537-41. View

20.

Mofidi R, Duff M, Wigmore S, Madhavan K, Garden O, Parks R . Association between early systemic inflammatory response, severity of multiorgan dysfunction and death in acute pancreatitis. Br J Surg. 2006; 93(6):738-44. DOI: 10.1002/bjs.5290. View