Latest & greatest articles for Acute Pancreatitis

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Top results for Acute Pancreatitis

1. Actim Pancreatitis for diagnosing acute pancreatitis

Actim Pancreatitis for diagnosing acute pancreatitis Actim Pancreatitis for diagnosing acute pancreatitis Medtech innovation briefing Published: 18 June 2020 www.nice.org.uk/guidance/mib218 pathways Summary Summary • The technology technology described in this briefing is the Actim Pancreatitis rapid test. It is to diagnose acute pancreatitis in people presenting to emergency departments with acute abdominal pain or in people who have had endoscopic retrograde cholangiopancreatography (ERCP (...) ). • The innovative aspects innovative aspects are that it is a urine dipstick test which means the likelihood of pancreatitis can be rapidly assessed. It does not need processing in a laboratory. • The intended place in therapy place in therapy would be instead of amylase or lipase blood tests to diagnose acute pancreatitis. • The main points from the evidence main points from the evidence summarised in this briefing are from 6 studies including 3,134 patients in a meta-analysis and 5 observational studies

2020 National Institute for Health and Clinical Excellence - Advice

2. Prevention of Severe Acute Pancreatitis With Cyclooxygenase-2 Inhibitors: A Randomized Controlled Clinical Trial Full Text available with Trip Pro

Prevention of Severe Acute Pancreatitis With Cyclooxygenase-2 Inhibitors: A Randomized Controlled Clinical Trial Prevention of Severe Acute Pancreatitis With Cyclooxygenase-2 Inhibitors: A Randomized Controlled Clinical Trial - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. National Institutes of Health National Library of Medicine (...) displayed: Create RSS Cancel RSS Link Copy Actions Cite Share Permalink Copy Page navigation Randomized Controlled Trial Am J Gastroenterol Actions . 2020 Mar;115(3):473-480. doi: 10.14309/ajg.0000000000000529. Prevention of Severe Acute Pancreatitis With Cyclooxygenase-2 Inhibitors: A Randomized Controlled Clinical Trial , , , , , , , , Affiliations Expand Affiliations 1 Department of Gastroenterology, West China Hospital, Sichuan University, Chengdu, China. 2 Laboratory of Gastroenterology

2020 EvidenceUpdates

3. Management of severe acute pancreatitis. Full Text available with Trip Pro

Management of severe acute pancreatitis. The risks, measurements of severity, and management of severe acute pancreatitis and its complications have evolved rapidly over the past decade. Evidence suggests that initial goal directed therapy, nutritional support, and vigilance for pancreatic complications are best practice. Patients can develop pancreatic fluid collections including acute pancreatic fluid collections, pancreatic pseudocysts, acute necrotic collections, and walled-off necrosis

2019 BMJ

4. Pentazocine, a Kappa-Opioid Agonist, Is Better Than Diclofenac for Analgesia in Acute Pancreatitis: A Randomized Controlled Trial (Abstract)

Pentazocine, a Kappa-Opioid Agonist, Is Better Than Diclofenac for Analgesia in Acute Pancreatitis: A Randomized Controlled Trial The ideal analgesic is not known for patients with acute pancreatitis (AP). Concerns have been raised about serious adverse effects of opioid analgesics increasing the severity of AP. We hypothesized that nonsteroidal anti-inflammatory drugs might be better analgesics because of their anti-inflammatory effect. Our objective was to compare pentazocine, an opioid

2019 EvidenceUpdates

5. Acute Pancreatitis

Acute Pancreatitis Date of origin: 1998 Last review date: 2013 ACR Appropriateness Criteria ® 1 Acute Pancreatitis American College of Radiology ACR Appropriateness Criteria ® Clinical Condition: Acute Pancreatitis Variant 1: First time presentation, typical abdominal pain, and increased amylase and lipase with high clinical certainty of diagnosis; 48–72 hours after onset of symptoms. Radiologic Procedure Rating Comments RRL* CT abdomen with IV contrast 8 This is the single best, most practical (...) is contraindicated. ??? CT abdomen without and with IV contrast 4 Without contrast portion of examination, this is generally not necessary. ???? Rating Scale: 1,2,3 Usually not appropriate; 4,5,6 May be appropriate; 7,8,9 Usually appropriate *Relative Radiation Level ACR Appropriateness Criteria ® 2 Acute Pancreatitis Clinical Condition: Acute Pancreatitis Variant 3: Continued SIRS, severe clinical scores, leukocytosis, and fever; >7–21 days after onset of symptoms. Radiologic Procedure Rating Comments RRL* CT

2019 American College of Radiology

6. Carbimazole: risk of acute pancreatitis

Carbimazole: risk of acute pancreatitis Carbimazole: risk of acute pancreatitis - GOV.UK Tell us whether you accept cookies We use about how you use GOV.UK. We use this information to make the website work as well as possible and improve government services. Accept all cookies You’ve accepted all cookies. You can at any time. Hide Search Carbimazole: risk of acute pancreatitis If acute pancreatitis occurs during treatment with carbimazole, immediately and permanently stop treatment. Re-exposure (...) to carbimazole may result in life-threatening acute pancreatitis with a decreased time to onset. Published 18 February 2019 From: Therapeutic area: , Contents Advice for healthcare professionals: cases of acute pancreatitis have been reported very infrequently during treatment with carbimazole if acute pancreatitis occurs, stop carbimazole treatment immediately do not use carbimazole in patients with a history of acute pancreatitis in association with previous treatment re-exposure may result in life

2019 MHRA Drug Safety Update

7. [Effects of early enteral nutrition in patients with mild acute pancreatitis.] Full Text available with Trip Pro

[Effects of early enteral nutrition in patients with mild acute pancreatitis.] Acute pancreatitis (AP) is an inflammatory disease of the pancreas that spans a wide range ranging from mild to critical forms. Contrary to the progress in the management of severe AP, the MAP has not presented significant changes in recent years. There are also no studies that establish a clear relationship between EEN in MAP and levels of albuminemia and CRP.A randomized, longitudinal and prospective clinical study

2019 Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina) Controlled trial quality: uncertain

8. Acute pancreatitis

Acute pancreatitis Acute pancreatitis - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Acute pancreatitis Last reviewed: February 2019 Last updated: January 2019 Summary The most common presenting symptom is mid-epigastric or left upper quadrant pain that radiates to the back. Epigastric tenderness is typical. Associated with nausea and vomiting. A history of cholelithiasis or alcohol intake is often present. Signs (...) of hypovolaemia (including decreased skin turgor, dry mucous membranes, hypotension, and sweating) are common. In more severe cases, the patient may be tachycardic and/or tachypnoeic. Elevated serum lipase or amylase concentration supports, but is not pathognomonic for, the diagnosis of acute pancreatitis. Initial treatment includes resuscitation with intravenous fluids and correction of electrolyte abnormalities, analgesia, and tight glucose control. Treatment of severe acute pancreatitis includes support

2019 BMJ Best Practice

9. Acute pancreatitis after major spine surgery: a case report and literature review Full Text available with Trip Pro

Acute pancreatitis after major spine surgery: a case report and literature review Acute pancreatitis has been described as potential complication of both abdominal and non-abdominal surgeries. The pathogenetic mechanism underlying acute pancreatitis in spine surgery may include intraoperative hemodynamic instability causing prolonged splanchnic hypoperfusion, as well as mechanical compression of the pancreas due to scoliosis correction, with a higher risk in cases of more extended fusions (...) , especially in young adults with lower body mass index (BMI).We report here a case of postoperative acute pancreatitis with benign evolution in a young female patient after the first and second surgery of a two-stage correction of right thoracic idiopathic scoliosis.In December 2017, the patient underwent first-stage T4-L3 posterior arthrodesis with T7-T12 osteotomies and temporary magnetic bar. Intraoperative blood loss required massive transfusion. In the immediate postoperative period, the patient

2018 Scoliosis and spinal disorders

10. Acute pancreatitis

Acute pancreatitis Evidence Maps - Trip Database or use your Google+ account Find evidence fast ALL of these words: Title only Anywhere in the document ANY of these words: Title only Anywhere in the document This EXACT phrase: Title only Anywhere in the document EXCLUDING words: Title only Anywhere in the document Timeframe: to: Combine searches by placing the search numbers in the top search box and pressing the search button. An example search might look like (#1 or #2) and (#3 or #4) Loading

2018 Trip Evidence Maps

11. The Risk of Acute Pancreatitis After Initiation of Dipeptidyl Peptidase 4 Inhibitors: Testing a Hypothesis of Subgroup Differences in Older U.S. Adults Full Text available with Trip Pro

The Risk of Acute Pancreatitis After Initiation of Dipeptidyl Peptidase 4 Inhibitors: Testing a Hypothesis of Subgroup Differences in Older U.S. Adults To examine whether dipeptidyl peptidase 4 inhibitors (DPP-4I) increase acute pancreatitis risk in older patients and whether the association varies by age, sex, and history of cardiovascular disease (CVD).We conducted a cohort study of DPP-4I initiators versus thiazolidinedione (TZD) or sulfonylurea initiators using U.S. Medicare beneficiaries (...) , 2007-2014. Eligible initiators were aged 66 years or older without history of pancreatic disease or alcohol-related diseases. Patients were followed up for hospitalization due to acute pancreatitis and censored at 90 days after treatment changes. Weighted Cox models were used to estimate the hazard ratio (HR) for acute pancreatitis. Analyses were performed overall as well as within subgroups defined by age, sex, and CVD history.We found no increased risk of acute pancreatitis comparing 49,374 DPP

2018 EvidenceUpdates

12. Management of Acute Pancreatitis in the Pediatric Population: A Clinical Report From the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition Pancreas Committee

Management of Acute Pancreatitis in the Pediatric Population: A Clinical Report From the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition Pancreas Committee Copyright © ESPGHAN and NASPGHAN. All rights reserved. Management of Acute Pancreatitis in the Pediatric Population: A Clinical Report From the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition Pancreas Committee Maisam Abu-El-Haija, y Soma Kumar, z Jose Antonio Quiros (...) , § Keshawadhana Balakrishnan, jj Bradley Barth, Samuel Bitton, # John F. Eisses, Elsie Jazmin Foglio, yy Victor Fox, zz Denease Francis, §§ Alvin Jay Freeman, jjjj Tanja Gonska, yy Amit S. Grover, # Sohail Z. Husain, Rakesh Kumar, ## Sameer Lapsia, Tom Lin, Quin Y. Liu, yyy Asim Maqbool, zzz Zachary M. Sellers, §§§ Flora Szabo, jjjjjj Aliye Uc, Steven L. Werlin, and ### Veronique D. Morinville ABSTRACT Background: Although the incidence of acute pancreatitis (AP) in children is increasing, management

2018 North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition

13. Endoscopic management of acute necrotizing pancreatitis

Endoscopic management of acute necrotizing pancreatitis Endoscopic management of acute necrotizing pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) evidence-based multidisciplinary guideline – European Society of Gastrointestinal Endoscopy (ESGE) +49-89-9077936-11 Menu https://doi.org/10.1055/a-0588-5365 Published online: 9.4.2018 | Endoscopy 2018; 50: 524–546 © Georg Thieme Verlag KG Stuttgart· New York Explore the ESGE website Menu Contact us +49-89-9077936-0 Follow us ©

2018 European Society of Gastrointestinal Endoscopy

14. Acute pancreatitis

Acute pancreatitis Acute pancreatitis - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Acute pancreatitis Last reviewed: February 2019 Last updated: January 2019 Summary The most common presenting symptom is mid-epigastric or left upper quadrant pain that radiates to the back. Epigastric tenderness is typical. Associated with nausea and vomiting. A history of cholelithiasis or alcohol intake is often present. Signs (...) of hypovolaemia (including decreased skin turgor, dry mucous membranes, hypotension, and sweating) are common. In more severe cases, the patient may be tachycardic and/or tachypnoeic. Elevated serum lipase or amylase concentration supports, but is not pathognomonic for, the diagnosis of acute pancreatitis. Initial treatment includes resuscitation with intravenous fluids and correction of electrolyte abnormalities, analgesia, and tight glucose control. Treatment of severe acute pancreatitis includes support

2018 BMJ Best Practice

15. Initial Management of Acute Pancreatitis Full Text available with Trip Pro

Initial Management of Acute Pancreatitis American Gastroenterological Association Institute Guideline on Initial Management of Acute Pancreatitis - Gastroenterology Email/Username: Password: Remember me Search AGA Journals Search Terms Search within Search Access provided by Volume 154, Issue 4, Pages 1096–1101 American Gastroenterological Association Institute Guideline on Initial Management of Acute Pancreatitis x Seth D. Crockett Affiliations Division of Gastroenterology and Hepatology (...) Sachin B. Wani x Sachin B. Wani , x David Weinberg x David Weinberg DOI: | Publication History Published online: February 04, 2018 Expand all Collapse all Article Outline Abbreviations used in this paper: ( ), ( ), ( ), ( ), ( ), ( ), ( ), ( ) This document presents the official recommendations of the American Gastroenterological Association (AGA) on the initial management of acute pancreatitis (AP). The guideline was developed by the AGA’s Clinical Practice Guideline Committee and approved

2018 American Gastroenterological Association Institute

16. A Rare Cause of Abdominal Pain in a Patient with Acute Necrotizing Pancreatitis Full Text available with Trip Pro

A Rare Cause of Abdominal Pain in a Patient with Acute Necrotizing Pancreatitis Walled-off necrosis (WON) is a potentially lethal late complication of acute pancreatitis (AP) and occurs in less than 10% of AP cases. It can be located in or outside the pancreas. When infected, the mortality rate increases and can reach 100% if the collection is not drained. Its treatment is complex and includes, at the beginning, intravenous antibiotics, which permit sepsis control and a delay in the therapeutic

2017 GE Portuguese journal of gastroenterology

17. Lemierre's syndrome presented with acute pancreatitis Full Text available with Trip Pro

Lemierre's syndrome presented with acute pancreatitis Lemierre's syndrome is a rare clinical condition that is characterized by infected internal jugular vein thrombosis with metastatic septicemia. The most common causative agent is Fusobacterium necrophorum. A previously healthy 37-year-old woman presented to our emergency department with nausea, vomiting, and diarrhea. She was admitted to the general practice unit with a diagnosis of acute pancreatitis then was subsequently transferred (...) to the intensive care unit due to shock. Physical examination revealed tenderness on right side of the neck. Blood cultures were remarkable for F. necrophorum. Clinical symptoms led to subsequent ultrasound and computed tomography scan of the neck, confirming internal jugular vein thrombosis.The patient was treated with antibiotics for 6 weeks. Anticoagulation therapy was initiated.We report a case of Lemierre's syndrome that presented as acute pancreatitis. The high index of suspicion of this disease

2017 Acute medicine & surgery

18. A case of severe acute necrotizing pancreatitis in a 38-year-old woman postpartum due to a parathyroid adenoma Full Text available with Trip Pro

A case of severe acute necrotizing pancreatitis in a 38-year-old woman postpartum due to a parathyroid adenoma Lethal necrotizing pancreatitis postpartum due to primary hyperparathyroidism caused by a parathyroid adenoma can be considered as a rarity. Due to the unspecific clinical signs and uncommonness this disorder may be overseen very easily. The reported case illustrates the very importance of early diagnosis of this endocrine disorder in pregnancy in order to avoid a lethal course.

2017 GMS Interdisciplinary plastic and reconstructive surgery DGPW

19. Severity and outcomes of acute alcoholic pancreatitis in cannabis users Full Text available with Trip Pro

Severity and outcomes of acute alcoholic pancreatitis in cannabis users Cannabis is the most commonly and widely used illicit drug in the world and is also the most commonly used drug of abuse in alcohol drinkers. Experimental studies have shown conflicting results of the effects of cannabis on the severity of acute pancreatitis (AP). The purpose of this study is to ascertain the clinical effects of simultaneous alcohol and cannabis use on severity at presentation and outcomes of acute (...) alcoholic pancreatitis (AAP).A retrospective review was conducted on the patients discharged with principle or secondary diagnosis of AP using ICD-9 & ICD-10 codes during the time period from January 2006 to December 2015 at a large community-based hospital in Central Georgia. Patients with alcoholic pancreatitis with cannabis (CB+) and without cannabis (CB-) use were identified and were matched with sex and age.Our study findings showed that a greater percentage of CB+ patients did not have a systemic

2017 Translational gastroenterology and hepatology

20. Impact of Liraglutide on Amylase, Lipase, and Acute Pancreatitis in Participants With Overweight/Obesity and Normoglycemia, Prediabetes, or Type 2 Diabetes: Secondary Analyses of Pooled Data From the SCALE Clinical Development Program Full Text available with Trip Pro

Impact of Liraglutide on Amylase, Lipase, and Acute Pancreatitis in Participants With Overweight/Obesity and Normoglycemia, Prediabetes, or Type 2 Diabetes: Secondary Analyses of Pooled Data From the SCALE Clinical Development Program To describe amylase/lipase activity levels and events of acute pancreatitis (AP) in the SCALE (Satiety and Clinical Adiposity-Liraglutide Evidence in individuals with and without diabetes) weight-management trials.Secondary analyses were performed on pooled data

2017 EvidenceUpdates