2024年《美国胃肠病学会指南:急性胰腺炎的管理》更新解读  

Interpretation of the updates in the 2024 American College of Gastroenterology Guidelines:Management of Acute Pancreatitis

作　　者：纪连栋[1] 袁洪涛[2] 魏伟[1] 窦晓琳 陈果[2] 龚学军[1] JI Liandong;YUAN Hongtao;WEI Wei;DOU Xiaolin;CHEN Guo;GONG Xuejun(Department of Pancreatic Surgery,Xiangya Hospital,Central South University,Changsha 410008,China;Department of Hepatobiliary and Pancreatic Surgery,Guiyang First People's Hospital,Guiyang 550001,China)

机构地区：[1]中南大学湘雅医院胰腺外科,湖南长沙410008 [2]贵阳市第一人民医院肝胆胰腺外科,贵州贵阳550001

出　　处：《中国普通外科杂志》2024年第9期1414-1421,共8页China Journal of General Surgery

摘　　要：2024年3月发布的《美国胃肠病学会指南:急性胰腺炎的管理》(以下简称“2024版指南”)根据不同的证据质量等级提出了急性胰腺炎(AP)管理的11条推荐意见与23个关键概念。2024版指南对AP的诊断标准、病因学、初始评估、危险程度分层、初始管理、内镜逆行胰胆管造影、抗生素应用、营养支持及外科干预等多个方面进行了详细阐述。相较于2023版美国胃肠病学会指南,2024版指南提供了更详细的建议和全面的循证医学证据,对优化AP患者诊治流程,改善患者预后具有十分重要的意义。The American College of Gastroenterology Guidelines:Management of Acute Pancreatitis(referred to as the"2024 guidelines"),released in March 2024,presents 11 recommendations and 23 key concepts for the management of acute pancreatitis(AP)based on different levels of evidence quality.The 2024 guidelines provide detailed explanations regarding the diagnostic criteria,etiology,initial assessment,severity stratification,initial management,endoscopic retrograde cholangiopancreatography,antibiotic use,nutritional support,and surgical interventions for AP.Compared to the 2023 edition of the American College of Gastroenterology Guidelines,the 2024 edition offers more detailed recommendations and comprehensive evidence-based medical data,which is of great significance in optimizing the diagnosis and treatment process for AP patients and improving patient outcomes.

关 键 词：胰腺炎 诊疗指南 解读 

分 类 号：R657.5[医药卫生—外科学]