Pancreatitis bundles

Toshihiko Mayumi, Tadahiro Takada, Koichi Hirata, Masahiro Yoshida, Miho Sekimoto, Masahiko Hirota, Yasutoshi Kimura, Kazunori Takeda, Hodaka Amano, Keita Wada, Toshifumi Gabata, Shinjyu Arata, Morihisa Hirota, Masamichi Yokoe, Seiki Kiriyama, Satoru Shikata, Kunihiro Shirai, Takeo Nakayama, Kuni Ohtomo, Masao TanakaTooru Shimosegawa

Research output: Contribution to journalArticlepeer-review

13 Citations (Scopus)


Clinical indicators set forth in the guidelines have been found to contribute to the improvement in compliance with the guidelines. On the other hand, it has been shown that clinical indicators are more effective when individual indicators are presented in the form of a bundle than when they are given separately. Accordingly, in the JPN Guidelines 2010 for management of acute pancreatitis, those indicators that are judged to be important on the basis of a recommendation classification of ''A or B'' are presented as a pancreatitis bundle. Each item includes assessment of severity after a diagnosis of pancreatitis has been made, differentiation of pathogenesis, management of gallstone-induced pancreatitis, a sufficient dose of fluid replacement and monitoring, pain control, prophylactic administration of wide-spectrum antibiotics and cholecystectomy following resolution of pancreatic symptoms caused by cholecystolithiasis. Hereafter, the efficacy of these indicators and the significance of their achievement should be examined carefully. Then, the assessment of the compliance rate with the guidelines as well as the assessment of the guidelines and pancreatitis itself should become possible.

Original languageEnglish
Pages (from-to)87-89
Number of pages3
JournalJournal of Hepato-Biliary-Pancreatic Sciences
Issue number1
Publication statusPublished - 2010 Jan
Externally publishedYes


  • Clinical indicators
  • Guidelines
  • Pancreatitis
  • Pancreatitis bundle

ASJC Scopus subject areas

  • Surgery
  • Hepatology


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