Acute pancreatitis classification: Difference between revisions
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!'''Atlanta criteria (1993)''' | !'''Atlanta criteria (1993)''' | ||
!'''Atlanta Revision (2013)''' | !'''Atlanta Revision (2013)''' | ||
|- | |- | ||
|'''Mild acute pancreatitis''' | |'''Mild acute pancreatitis''' | ||
|'''Mild acute pancreatitis''' | |'''Mild acute pancreatitis''' | ||
|- | |- | ||
| Absence of organ failure | | Absence of organ failure | ||
| Absence of organ failure | | Absence of organ failure | ||
|- | |- | ||
|Absence of local complications | |Absence of local complications | ||
|Absence of local complications | |Absence of local complications | ||
|- | |- | ||
|'''Severe acute pancreatitis''' | |'''Severe acute pancreatitis''' | ||
|Moderately severe acute pancreatitis | |Moderately severe acute pancreatitis | ||
|- | |- | ||
|1. Local complications '''AND/OR''' | |1. Local complications '''AND/OR''' | ||
|1. Local complications '''AND/OR''' | |1. Local complications '''AND/OR''' | ||
|- | |- | ||
| 2. Organ failure | | 2. Organ failure | ||
|2. Transient organ failure (< 48 h) | |2. Transient organ failure (< 48 h) | ||
|- | |- | ||
|GI bleeding (> 500 cc/24 hr) | |GI bleeding (> 500 cc/24 hr) | ||
|'''Severe acute pancreatitis''' | |'''Severe acute pancreatitis''' | ||
|- | |- | ||
|Shock – SBP ≤ 90 mm Hg | |Shock – SBP ≤ 90 mm Hg | ||
|Persistent organ failure > 48 h | |Persistent organ failure > 48 h | ||
|- | |- | ||
|PaO 2 ≤ 60% | |PaO 2 ≤ 60% | ||
| | | | ||
|- | |- | ||
|Creatinine ≥ 2 mg/dl | |Creatinine ≥ 2 mg/dl | ||
| | | | ||
|} | |} |
Revision as of 14:47, 24 October 2017
Acute pancreatitis Microchapters |
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Acute pancreatitis classification On the Web |
American Roentgen Ray Society Images of Acute pancreatitis classification |
Risk calculators and risk factors for Acute pancreatitis classification |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2]
Overview
Acute pancreatitis may be classified according to the severity of disease into 2 subtypes: mild (interstitial or edematous) and severe (necrotising or organ failure).
Classification
Atlanta criteria (1993) | Atlanta Revision (2013) |
---|---|
Mild acute pancreatitis | Mild acute pancreatitis |
Absence of organ failure | Absence of organ failure |
Absence of local complications | Absence of local complications |
Severe acute pancreatitis | Moderately severe acute pancreatitis |
1. Local complications AND/OR | 1. Local complications AND/OR |
2. Organ failure | 2. Transient organ failure (< 48 h) |
GI bleeding (> 500 cc/24 hr) | Severe acute pancreatitis |
Shock – SBP ≤ 90 mm Hg | Persistent organ failure > 48 h |
PaO 2 ≤ 60% | |
Creatinine ≥ 2 mg/dl |
The revised Atlanta classification for acute pancreatitis classifies it as:
- Mild pancreatitis (interstitial or edematous): inflammation of parenchyma of pancreas without local or systemic complications.
- Severe pancreatitis (necrotising or organ failure): severe pancreatitis causing local and systemic manifestations.[1]
Acute pancreatitis is further distinguished clinically into early phase (1st week) and late phase (after the 1st week).