Classifying the severity of acute pancreatitis: Towards a way forward

Splenic Rupture by Tubular Drain in a Patient with Necrotizing Pancreatitis

“…According to the Atlanta Revision Classification, the AP can be classified in types and degrees of the disease's severity [6,8].…”

“…The necrotizing pancreatitis is defined by the presence of necrosis of the pancreatic parenchyma or of the peripancreatic tissues. It is the most aggressive type of AP, associated to the reserved prognostic [6,8]. This brings some possible complications in its development, such as: infection, bleeding, alteration of the pancreatic duct and formation of stenosis, and compartmental abdominal syndrome [3,4,9].…”

“…The "local" group includes pancreatic pseudocysts, fluid acute peripancreatic collections, and unconfined necrosis; not to mention splenic vein or portal vein thrombosis, colon necrosis and gastric dysfunction [6][7][8][9]. These complications must be suspected in case of persistence, or recurrence, of abdominal pain, secondary increase of serum pancreatic enzymes, organic dysfunction intensification, and/or development of clinical signs of sepsis [7][8][9].…”

“…These complications must be suspected in case of persistence, or recurrence, of abdominal pain, secondary increase of serum pancreatic enzymes, organic dysfunction intensification, and/or development of clinical signs of sepsis [7][8][9]. The group of "systemic", there were observations of circulatory and renal alterations, organ failure, or exacerbation of severe pre-existing comorbidities [6][7][8][9]. Such complications are responsible for slowing the patient's hospital discharge and determine therapeutic interventions [6,8].…”

“…The group of "systemic", there were observations of circulatory and renal alterations, organ failure, or exacerbation of severe pre-existing comorbidities [6][7][8][9]. Such complications are responsible for slowing the patient's hospital discharge and determine therapeutic interventions [6,8].…”