Understanding the International Consensus for Acute Pancreatitis: Classification of Atlanta 2012

Abstract

Introduction: Contrast computed tomography and magnetic resonance imaging are widely used due to its image quality and ability to study pancreatic and peripancreatic morphology. The understanding of the various subtypes of the disease and identification of possible complications requires a familiarity with the terminology, which allows effective communication between the different members of the multidisciplinary team. Aim: Demonstrate the terminology and parameters to identify the different classifications and findings of the disease based on the international consensus for acute pancreatitis ( Atlanta Classification 2012). Methods: Search and analysis of articles in the "CAPES Portal de Periódicos with headings "acute pancreatitis" and "Atlanta Review". Results: Were selected 23 articles containing radiological descriptions, management or statistical data related to pathology. Additional statistical data were obtained from Datasus and Population Census 2010. The radiological diagnostic criterion adopted was the Radiology American College system. The "acute pancreatitis - 2012 Rating: Review Atlanta classification and definitions for international consensus" tries to eliminate inconsistency and divergence from the determination of uniformity to the radiological findings, especially the terminology related to fluid collections. More broadly as "pancreatic abscess" and "phlegmon" went into disuse and the evolution of the collection of patient fluids can be described as "acute peripancreatic collections", "acute necrotic collections", "pseudocyst" and "necrosis pancreatic walled or isolated". Conclusion: Computed tomography and magnetic resonance represent the best techniques with sequential images available for diagnosis. Standardization of the terminology is critical and should improve the management of patients with multiple professionals care, risk stratification and adequate treatment.

Hemofiltration in Patients with Severe Acute Pancreatitis (Review)

“…According to this scale, the score of 8 or more is referred to cases of SAP [ 1 , 3 , 5 , 7 , 12 ]. To assess the state dynamics, it has been also proposed to use BISAP scale and biochemical markers such as procalcitonin and C-reactive protein [ 1 , 3 , 5 , 7 , 12 , 141 , 156 ]. Other markers also may be suggested.…”

Major and minor complications of the pancreas after transcatheter arterial embolization using n-butyl-2-cyanoacrylate for acute bleeding from pancreatic arteries

“…The diagnosis of acute pancreatitis was defined based on the revised Atlanta classification of acute pancreatitis. Diagnosis of acute pancreatitis requires two of the following three features: abdominal pain consistent with acute pancreatitis, serum lipase activity (or amylase activity) at least three times greater than the upper limit of normal, and characteristic findings of acute pancreatitis on CE-CT [16,17]. CT diagnosis and severity classification of pancreatitis were assessed based on the modified CT severity index (Table 2) [18]; however, focal lack of pancreatic parenchymal enhancement in the embolized area on CE-CT in patients who did not meet the diagnostic criteria for acute pancreatitis was considered to be a different finding rather than pancreatic necrosis with pancreatitis.…”

Fisiopatologia e tratamento da pancreatite aguda

“…É considerada a doença pancreática mais comum em crianças e adultos. No Brasil, a incidência varia geograficamente; no entanto, a média para cada 100.000 é de 19, segundo dados do Datasus e IBGE referentes a 2014 2 . Excluindo-se os países asiáticos, onde os parasitas da árvore biliar constituem causa importante, cerca de 80% dos pacientes de pancreatite têm como causa a litíase biliar e o consumo de álcool, 10% resultam de causas variadas e cerca de 10% permanecem de causa desconhecida 3 .…”