Year 2022 / Volume 114 / Number 2
Editorial
Acute pancreatitis: an opportunity for gastroenterology hospitalists?

73-75

DOI: 10.17235/reed.2022.8573/2022

Javier A Cienfuegos, Víctor Valentí, Fernando Rotellar,

Abstract
Acute pancreatitis (AP) is the third most frequent cause of hospital admissions for digestive disorders in the US and Europe after digestive bleeding and cholelithiasis/cholecystitis. The incidence of AP ranges from 15 to 100 cases per 100,000 inhabitants per year, and has been steadily increasing in recent years. In Spain, the reported incidence is 72 patients per 100,000 inhabitants per year. The most frequent cause is biliary lithiasis (50 %-60 % of cases); fortunately, 80 % of patients have only mild symptoms—as defined by the revised Atlanta Classification—and progress favorably, although mortality rate is 4.2 %. Clinical guidelines explicitly indicate that laparoscopic cholecystectomy should be performed during the first 48-72 hours or at the time of hospital admission in mild cases of biliary origin.
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References
1. Peery AF, Crockett SD, Murphy CC, et al. Burden and Cost of Gastrointestinal, Liver, and Pancreatic Diseases in the United States: Update 2021. Gastroenterology 2021. Available at: http://www.ncbi.nlm.nih.gov/pubmed/34678215. doi: 10.1053/j.gastro.2021.10.017. Online ahead of print.PMID: 34678215.
2. Boxhoorn L, Voermans RP, Bouwense SA, et al. Acute pancreatitis. The Lancet 2020;396:726–734.
3. Roberts SE, Morrison-Rees S, John A, Williams JG, et al.. The incidence and aetiology of acute pancreatitis across Europe. Pancreatology 2017;17:155–165.
4. Méndez-Bailón M, De Miguel Yanes JM, Jiménez-García R. et al. National trends in incidence and outcomes of acute pancreatitis among type 2 diabetics and non-diabetics in Spain (2001-2011). Pancreatology 2015;15:64–70.
5. Banks PA, Bollen TL, Dervenis C, et al. Classification of acute pancreatitis - 2012: Revision of the Atlanta classification and definitions by international consensus. Gut 2013;62:102–111.
6. Crockett SD, Wani S, Gardner TB, et al. American Gastroenterological Association Institute Guideline on Initial Management of Acute Pancreatitis. Gastroenterology 2018;154:1096–1101.
7. Working group. Acute Pancreatitis Guidelines- IAP/APA evidence-based guidelines for the management of acute pancreatitis. Pancreatology 2013;13:e1-e15.
8. Moody N, Adiamah A, Yanni F, et al.. Meta-analysis of randomized clinical trials of early versus delayed cholecystectomy for mild gallstone pancreatitis. Br J Surg 2019;106:1442–1451.
9. Krishna SG, Kruger AJ, Patel N, et al.. Cholecystectomy during Index Admission for Acute Biliary Pancreatitis Lowers 30-Day Readmission Rates. Pancreas 2018;47:996–1002.
10. Barreiro-Alonso E, Mancebo-Mata A, Varela-Trastoy P, et al. Readmissions due to acute biliary edematous pancreatitis in patients without cholecystectomy. Rev Esp Enferm Dig 2016;108:473–478.
11. Parra-Membrives P, García-Vico A, Martínez-Baena D, et al.. Long-term outcome of patients with biliary pancreatitis not undergoing cholecystectomy. A retrospective study. Rev Esp Enferm Dig. 2021. doi: 10.17235/reed.2021.7891/2021. Online ahead of print http://www.ncbi.nlm.nih.gov/pubmed/33947191.Online ahead of print.
12. Porter ME, Teisberg EO. How physicians can change the future of health care. JAMA 2007;297:1103–1111.
13. Porter ME. What Is Value in Health Care? N Engl J Med 2010;363:2477–2481.
14. Institute of Medicine. Committeee on Quality of Health care in America. Crossing the Quality Chasm: A new health system for the 21st century. Washington DC (US). National Academy Press 2001 pp:39-60 Available at: 10.17226/10027..
15. Hughes ML, Darrick KL, Hung KW LL. Adapting to the Challenge of Hospital-Based care: The Evolving Role of Gastroenterology Hospitalist. Am J Gastroenterol.202 1doi: 10.14309/ajg.0000000000001585. Online ahead of print
16. Desai AP, Satoskar R, Appannagari A, et al. Co-management between hospitalist and hepatologist improves the quality of care of inpatients with chronic liver disease. J Clin Gastroenterol 2014;48:e30-e36.
17. Sun E, Hughes ML, Enslin S, et al.. The Role of the Gastrointestinal Hospitalist in Optimizing Endoscopic Operations. Gastrointes Endoscopy Clin N A. 2021;31:681–693.
18. Crespo J, carballo F., Alberca F,et al. . Digestive units in the National Health System of the 21st century. Organizational and management standards for a patient-centered service. Rev Esp Enferm Dig 2020 112:144–149. doi: 10.1053/j.gastro.2021.10.017. Online ahead of print.PMID: 34678215
19. Plate JDJ, Leenen LPH, Houwert M, et al. Utilisation of Intermediate Care Units: A Systematic Review. Crit Care Res Pract.2017:8038460. Available at: http://www.ncbi.nlm.nih.gov/pubmed/28775898..
20. Maa J, Carter JT, Gosnell JE, et al.. The Surgical Hospitalist: A New Model for Emergency Surgical Care. J Am Coll Surg 2007;205:704–711.
21. Freeman WD, Gronseth G, Eidelman BH Is it time for neurohospitalists? Neurology 2008;70:1282–1288.
22. Wachter RM, Goldman L. The Emerging Role of “Hospitalists” in the American Health Care System. N Engl J Med 1996;335:514–517.
23. Latorre M, Gross SA, Pochapin MB. A Practical Guide to Establishing a Gastroenterology Hospitalist Program. Clin Gastroenterol Hepatol 2021;19:871-875..
24. Murphy PB, Paskar D, Hilsden R et al. Acute care surgery: A means for providing cost-effective, quality care for gallstone pancreatitis. World J Emerg Surg 2017;12:20doi: 10.1186/s13017-017-0128-3..
25. Jamdar S, Chandrabalan V V, Obeidallah R, et al.. The Impact of a Dedicated “Hot List” on the In-Patient Management of Patients With Acute Gallstone-Related Disease. Front Surg 2021;8:643077. Available at: http://www.ncbi.nlm.nih.gov/pubmed/34055866.
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Cienfuegos J, Valentí V, Rotellar F. Acute pancreatitis: an opportunity for gastroenterology hospitalists?. 8573/2022


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Publication history

Received: 04/01/2022

Accepted: 16/01/2022

Online First: 18/01/2022

Published: 07/02/2022

Article Online First time: 14 days

Article editing time: 34 days


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