Año 2022 / Volumen 114 / Número 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,

Resumen
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.
Share Button
Nuevo comentario
Comentarios
No hay comentarios para este artículo.
Bibliografía
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.
Artículos relacionados

Revisión

Practical management of primary biliary cholangitis

DOI: 10.17235/reed.2021.8219/2021

Carta

Neumatosis intestinal en la anorexia nerviosa

DOI: 10.17235/reed.2021.8013/2021

Editorial

Reflex testing. A key tool for the elimination of hepatitis C

DOI: 10.17235/reed.2020.7201/2020

Revisión

Meckel’s diverticulum: clinical features, diagnosis and management

DOI: 10.17235/reed.2018.5628/2018

Carta al Editor

Acute transverse colon volvulus with secondary gastric isquemia. Case report

DOI: 10.17235/reed.2016.4024/2015

Instrucciones para citar
Cienfuegos J, Valentí V, Rotellar F. Acute pancreatitis: an opportunity for gastroenterology hospitalists?. 8573/2022


Descargar en un gestor de citas

Descargue la cita de este artículo haciendo clic en uno de los siguientes gestores de citas:

Métrica
Este artículo ha sido visitado 831 veces.
Este artículo ha sido descargado 182 veces.

Estadísticas de Dimensions


Estadísticas de Plum Analytics

Ficha Técnica

Recibido: 04/01/2022

Aceptado: 16/01/2022

Prepublicado: 18/01/2022

Publicado: 07/02/2022

Tiempo de prepublicación: 14 días

Tiempo de edición del artículo: 34 días


Compartir
Este artículo ha sido valorado por 1 lectores .
Valoración del lector:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
La REED es el órgano oficial de la Sociedad Española de Patología Digestiva, la SociedadEspañola de Endoscopia Digestiva y la Asociación Española de Ecografía Digestiva
Política de cookies Política de Privacidad Aviso Legal © Copyright 2023 y Creative Commons. Revista Española de Enfermedades Digestivas