A descriptive study evaluating the circumstances of medical treatment for acute pancreatitis before publication of the new JPN guidelines based on the Japanese administrative database associated with the Diagnosis Procedure Combination system.

A descriptive study evaluating the circumstances of medical treatment for acute pancreatitis before publication of the new JPN guidelines based on the Japanese administrative database associated with the Diagnosis Procedure Combination system.

MedLine Citation:	PMID: 21431888 Owner: NLM Status: Publisher
Abstract/OtherAbstract:	PURPOSE: To examine the circumstances of medical treatment for acute pancreatitis before publication of the new Japanese (JPN) guidelines using the Japanese administrative database associated with the Diagnosis Procedure Combination system. METHODS: We collected data from 7,193 patients with acute pancreatitis in 2008 and examined the recommended medical treatment in the new JPN guidelines [from recommendations B (considered to be recommended treatments) to D (considered to be unacceptable treatments)] according to severity of acute pancreatitis. Patients were divided into two groups: mild cases (n = 6,520) and severe cases (n = 673). RESULTS: Enteral nutrition for severe cases without ileus (recommendation B) was uncommon (13.5%). In contrast, prophylactic antibiotics were administered in a large number (80.4%) of mild cases without acute cholangitis (recommendation D). Furthermore, administration of H(2) receptor antagonists, except for cases of upper gastrointestinal bleeding (recommendation D), were performed in many patients with both mild and severe cases (66.8 vs. 78.6%). CONCLUSIONS: This study demonstrated a discrepancy between actual medical treatment performed and the new JPN guidelines with regard to some of the medical treatments. Future studies are required after publication of the new JPN guidelines to determine how they affect medical treatments.

Authors:	Atsuhiko Murata; Shinya Matsuda; Toshihiko Mayumi; Masamichi Yokoe; Kazuaki Kuwabara; Yukako Ichimiya; Yoshihisa Fujino; Tatsuhiko Kubo; Kenji Fujimori; Hiromasa Horiguchi
Related Documents :	21534228 - Reasons for medical evacuation of soldiers serving in iraqi freedom operation. 21158488 - Effects of medication and subthalamic nucleus deep brain stimulation on tongue movement... 21389918 - Coronary stenting in patients with medically resistant vasospasm. 16878618 - Rustom jal vakil: his contributions to cardiology. 12551778 - Evaluation of a training program for healthcare professionals about breast-feeding. 11604928 - Security architecture for hl/7 message interchange.
Publication Detail:	Type: JOURNAL ARTICLE Date: 2011-3-24
Journal Detail:	Title: Journal of hepato-biliary-pancreatic sciences Volume: - ISSN: 1868-6982 ISO Abbreviation: - Publication Date: 2011 Mar
Date Detail:	Created Date: 2011-3-24 Completed Date: - Revised Date: -
Medline Journal Info:	Nlm Unique ID: 101528587 Medline TA: J Hepatobiliary Pancreat Sci Country: -
Other Details:	Languages: ENG Pagination: - Citation Subset: -
Affiliation:	Department of Preventive Medicine and Community Health, School of Medicine, University of Occupational and Environmental Health, 1-1 Iseigaoka, Yahatanishi-ku, Kitakyushu, 807-8555, Japan, amurata@med.uoeh-u.ac.jp.
Export Citation:	APA/MLA Format Download EndNote Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document: Effect of penicillin G on the biliary excretion of cholephilic compounds in rats.
Next Document: The effect of cyclodextrins on the ethanol tolerance of microorganisms suggests potential applicatio...