Acute Pancreatitis, Updated Best Practices Based Management Compared to Professional Guidelines Statements - Literature Review & Recommendations

Oct 5, 2026

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This literature review evaluates the quality of clinical guidelines for acute pancreatitis and compares them with updated best-practice management approaches. Fifty-five endorsed guidelines are assessed using the GRADE evidence hierarchy. Features such as evidence grading, recommendations summaries, tables, and audit goals show higher scores, while guideline use has not sharply improved decision-making for diagnosis, complication prediction, or treatment. Updated best practices evolve over time and propose a new conceptual competence-based approach, with recommendations for broader dynamic research.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages14

Reading Time35 min

AccessFree to download

Abstract

Objectives

Methods

Results

Conclusion

Methodology & Aim of Research

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Literature Review

Aim of Article

Introduction

Annals of Clinical Surgery Research Article Published: 15 Apr, 2022 Acute Pancreatitis, Updated Best Practices Based Management Compared to Professional Guidelines Statements: Literature Review & Recommendations Mohamed Mahmood Nasr*, Maged Mahmoud Nasr and Lamia Hamid Shehata 1Department of Endoscopic & General Surgery, King Fahd Medical City, KSA 2Department of Endoscopic Surgery, Obstetrics & Gynecology, Mazahmiya Hospital, KSA 3Department of Radiology, National Care Hospital, KSA OPEN ACCESS *Correspondence: Mohamed Mahmood Nasr, Department of Endoscopic & General Surgery, King Fahd Medical City, Riyadh, Head of Research Unit, Directorate of Specialized Medical Centers, Ministry of Health, KSA, Tel: +966 543 606 109; [E-mail: drmdnasr@gmail.com](E-mail: drmdnasr@gmail.com) [Received Date](Received Date: 11 Mar 2022)[:](Received Date: 11 Mar 2022)[ 11 Mar 2022](Received Date: 11 Mar 2022) [Accepted Date](Accepted Date: 07 Apr 2022)[:](Accepted Date: 07 Apr 2022)[ 07 Apr 2022](Accepted Date: 07 Apr 2022) [Published Date](Published Date: 15 Apr 2022)[:](Published Date: 15 Apr 2022)[ 15 Apr 2022](Published Date: 15 Apr 2022)[ ](Published Date: 15 Apr 2022)Citation: Nasr MM, Nasr MM, Shehata LH. Acute Pancreatitis, Updated Best Practices Based Management Compared to Professional Guidelines Statements: Literature Review & Recommendations. Ann Clin Surg. 2022; 3(1): 1023. Copyright © 2022 Mohamed Mahmood Nasr. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Objectives: Several clinical guidelines exist for acute pancreatitis, with varying recommendations. The aim of this study is to determine the quality of guidelines for acute pancreatitis and comparison to the updated best practices. Finally suggestion of best way of clinical management. Methods: First, literature search has identified relevant acute pancreatitis management guidelines, were then reviewed to determine their document format and scope and the presence of endorsement by a professional body. The quality of fifty five guidelines is determined using the validated “Grading of Recommendations Assessment, Development and Evaluation” hierarchy of evidence. The second, literature review for updated best practices’ management of acute pancreatitis and related complications. Finally, proposal for a structured best results’ management proposal for acute pancreatitis has been achieved. Results: Fifty five guidelines endorsed by professional bodies are analyzed regarding evidence quality that is found not improved over time. Guidelines with tables, a recommendations summary, evidence grading, and audit goals had significantly higher scores than guidelines lacking those features. Guidelines have not been a sharp cut for decision making regarding diagnosis, prediction of complication or treatment in addition of being not strictly followed. Updated best practices have accumulated over time and postulated a new conceptual approach competency. Conclusion: The many clinical guidelines for acute pancreatitis range widely regarding statements’quality. Updated best practices management procedures for acute pancreatitis should be observed by professional bodies to consider valued one into the guidelines. Further dynamic wide scale research is required to determine whether guideline quality alters clinical outcomes. Keywords: Guideline for acute pancreatitis; Hepato-bilio-pancreatic professional bodies; Grading of Recommendations Assessment Development and Evaluation (GRADE); Sequential organ failure assessment (SOFA); Determinant-Based Classification for the severity (DBC); Visual Analogue Scale (VAS) Methodology & Aim of Research Search strategy This systematic review is conducted in accordance with the “Preferred Reporting Items for Systematic Reviews and Meta Ana

FAQs

What is the primary objective of this study on acute pancreatitis guidelines?

The study determines the quality of acute pancreatitis guidelines, compares them with updated best practices, and proposes a best way for clinical management.

How were the guidelines evaluated in the methods?

Relevant guidelines were reviewed for format, scope, and professional endorsement, and the quality of fifty-five guidelines was assessed using the GRADE hierarchy of evidence.

Which guideline features were associated with higher quality scores?

Guidelines that included tables, a recommendations summary, evidence grading, and audit goals scored significantly higher than those lacking these features.

What conclusion does the paper draw about updated best-practice management?

Updated best practices for acute pancreatitis should be incorporated or observed by professional bodies, while further large-scale research is needed to determine whether guideline quality changes clinical outcomes.

Oct 5, 2026

Uploaded by Stanford