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. 2021 Jul 10:2021:6611149.
doi: 10.1155/2021/6611149. eCollection 2021.

The Diagnosis and Treatment of Local Complications of Acute Necrotizing Pancreatitis in China: A National Survey

Xiaowu Dong  1   2 , Wenjian Mao  1   2 , Lu Ke  2 , Lin Gao  2 , Jing Zhou  2 , Bo Ye  2 , Gang Li  2 , Anthony Phillips  3   4 , Zhihui Tong  2 , John Windsor  3   4   5 , Weiqin Li  1   2 , Chinese Acute Pancreatitis Clinical Trials Group Capctg  6
Affiliations

The Diagnosis and Treatment of Local Complications of Acute Necrotizing Pancreatitis in China: A National Survey

Xiaowu Dong et al. Gastroenterol Res Pract. .

Abstract

Background: The optimal management strategy in acute necrotizing pancreatitis (ANP) is debated, and compliance with current guidelines in China is not known. In this study, we performed a national survey on this topic in China.

Methods: An online questionnaire about the diagnosis and treatment of local complications of ANP was distributed through a national collaborative network. The local and systemic complications were defined according to the Revised Atlanta Classification.

Results: There were 321 survey respondents from the 394 who opened the link (response rate 81%) from 208 hospitals located in 30/34 provinces across China. There was a lack of consensus in terms of early diagnosis of infected pancreatic necrosis (IPN) as the respondents chose to depend on clinical symptoms (70/321, 22%), organ failure (82/321, 26%), imaging changes (84/321, 26%), and fine needle aspiration (51/321, 16%), respectively. A "step-up" approach has been widely adopted in patients with IPN (294/321, 92%). The decision for initial intervention (without confirmed/suspected infection) was based on clinical condition, CT imaging, or laboratory indicators for most respondents (229/321, 71%).

Conclusion: While the "step-up" approach has been widely adopted, there is still significant variation in regard to the diagnosis of infection, the best timing for drainage, and the indications for early intervention.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Figure 1
Figure 1
Geographic distribution of the respondents.
Figure 2
Figure 2
Baseline characteristics of respondents.
See this image and copyright information in PMC

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