Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | duminicŃ, 20 ianuarie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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NECESSITY TO REVIEW ATLANTA CLASSIFICATION OF ACUTE PANCREATITIS
V. P─âunescu
Clinica chirurgical─â, Spitalul Clinic de Urgen┼ú─â „Bagdasar-Arseni”, Bucure┼čti
Universitatea de Medicin─â ┼či Farmacie „Carol Davila” Bucure┼čti
Jurnalul de chirurgie (Ia┼či) 2013; 9(2): 113-126.
Full text: 
Format PDF (Român─â/Romanian)

Abstract:

The universal credit of the acute pancreatitis description goes to Reginald Fitz Huber, who in 1889 classified acute pancreatitis in: hemorrhagic, gangrenous and suppurative, following surgical and autopsy findings. Over time were used different criteria for classification of acute pancreatitis. Classification of acute pancreatitis in 1992 in Atlanta introduced a uniform system for assessing clinical severity and various complications of the disease, widely accepted classification. In this classification, acute pancreatitis is presented in two forms: mild and severe. Mild pancreatitis is associated with minimal dysfunction of organs and, eventually, it heals. Severe form is associated with organ failure and/or local complications, such as necrosis, abscess and pseudocyst. The increase of knowledge of pathophysiology in acute pancreatitis, the introduction of advanced diagnostic and treatment means showed that some definitions have created confusion and made absolutely necessary the revision of Atlanta classification. The review includes criteria for assessing the severity and description of local complications. The revised classification of acute pancreatitis in 2012 identifies in the dynamic evolution of the disease, early stage and late stage, and classifies severity as: mild, moderate and severe, based on the presence or absence of multiple organ failure and local complications in the two forms of acute pancreatitis: interstitial edematous pancreatitis and necrotizing pancreatitis. Local complications are: acute peripancreatic fluid complications, pancreatic pseudocyst, acute necrotic collections and wall formed necrosis. CONCLUSION: This review demonstrates that revised Atlanta classification is an useful tool for the management of acute pancreatitis and will allow to decrease the morbidity and mortality of severe pancreatitis.

HOW TO CITE: P─âunescu V. [Necessity to review Atlanta classification of acute pancreatitis] Jurnalul de chirurgie (Ia┼či). 2013; 9(2): 113-126. DOI: 10.7438/1584-9341-9-2-2.


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Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.