Predictive Criteria for Severe Course of Acute Pancreatitis Based on Last Reviews of Its Classification Signs

Abstract

Acute pancreatitis (GP) is one of the most common diseases of the digestive system requiring urgent hospitalization, and there is a global tendency to increase the incidence of this disease. In recent years, approaches to the classification of this disease have been revised. The purpose of this work was to analyze recent year publications regarding modern views on the diagnosis, identification and prediction of the severity of acute pancreatitis. The study was based on the search of relevant information in peer-reviewed journals through the "Medline" sources over the past 5 years by key words as acute severe pancreatitis, classification. The data obtained were then carefully analyzed. Modern views on the diagnosis of severe forms of acute pancreatitis are based on the new international classifications of RAC and DBC. The presence of organ failure and its duration is a key criterion for the diagnosis of acute severe pancreatitis. In addition to organ failure, DBC recommends the use of pancreatic necrosis and its sterility / infectivity, which is more relevant for the late phase of the disease. Early diagnosis and prediction of multiple organ failure are of great significance in planning and correction of intensive care, and the diagnosis of parapancreatic complications is exceptionally important for choosing the proper surgical tactics. The correct evaluation of the classification data in the dynamics will determine the extent and staging of surgical interventions. The development and grounding of an optimal approach to the treatment of acute severe pancreatitis based on key classification features is to minimize the adverse effects.