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A web-based consultation in 2007 gathered broad participation, followed by iterative reviews through draft circulation and three web consultations, retaining only evidence-based statements. 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The revision updates severity assessment and local complication terminology based on better understanding and improved imaging.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How does the revised classification define severity in acute pancreatitis?",{"text":117,"@type":113},"Severity is categorized as mild, moderately severe, or severe. Mild lacks organ failure and complications and typically resolves within the first week; severe requires persistent organ failure, defined as organ failure >48 hours.",{"name":119,"@type":110,"acceptedAnswer":120},"Which local complications are included, and what guidance is provided for imaging reporting?",{"text":121,"@type":113},"Local complications include peripancreatic fluid collections, pancreatic and peripancreatic necrosis (sterile or infected), pseudocyst, and walled-off necrosis (sterile or infected). 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To view these ﬁles please visit the journal online ([http://dx.doi.org/10.1136/](http://dx.doi.org/10.1136/)[ ](http://dx.doi.org/10.1136/)[gutjnl-2012-302779](gutjnl-2012-302779)) .  \n1Division of Gastroenterology, Hepatology, and Endoscopy, Harvard Medical School, Brigham and Women’s Hospital, Boston, Massachusetts, USA 2Department of Radiology, St Antonius Hospital, Nieuwegein, the Netherlands 3First Department of Surgery, Agia Olga Hospital, Athens, Greece  \n4Evidence-Based Surgery Research Unit, University of Nijmegen, Nijmegen, the Netherlands  \n5University Hospital Southampton, Southampton, UK  \n6Department of Surgery, Mayo Clinic, Rochester, Minnesota, USA  \n7Division of Digestive Surgery, Metropolitan Hospital, Athens, Greece  \n8Department of Medicine, Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA  \nCorrespondence to Michael G Sarr, Department of Surgery, Mayo Clinic (GU 10-01), 200 1st St SW, Rochester, MN 55905, USA; [sarr.michael@mayo.edu](sarr.michael@mayo.edu)  \nRevised 29 August 2012 Accepted 29 August 2012 Published Online First  \n25 October 2012  \n▸ [http://dx.doi.org/10.1136/](http://dx.doi.org/10.1136/)[ ](http://dx.doi.org/10.1136/)[gutjnl-2012-303724](gutjnl-2012-303724)[ ](gutjnl-2012-303724)[http://dx.doi.org/10.1136/](http://dx.doi.org/10.1136/)[ ](http://dx.doi.org/10.1136/)[gutjnl-2012-303725](gutjnl-2012-303725)[ ](gutjnl-2012-303725)[http://dx.doi.org/10.1136/](http://dx.doi.org/10.1136/)[ ](http://dx.doi.org/10.1136/)[gutjnl-2012-304051](gutjnl-2012-304051)  \nABSTRACT  \nBackground and objective The Atlanta classiﬁcation of acute pancreatitis enabled standardised reporting of research and aided communication between clinicians. Deﬁciencies identiﬁed and improved understanding of the disease make a revision necessary.  \nMethods A web-based consultation was undertaken in 2007 to ensure wide participation of pancreatologists. After an initial meeting, the Working Group sent a draft document to 11 national and international pancreatic associations. This working draft was forwarded to all members. Revisions were made in response to comments, and the web-based consultation was repeated three times. The ﬁnal consensus was reviewed, and only statements based on published evidence were retained.  \nResults The revised classiﬁcation of acute pancreatitisidentiﬁed two phases of the disease: early and late. Severity is classiﬁed as mild, moderate or severe. Mild acute pancreatitis, the most common form, has no organ failure, local or systemic complications and usually resolves in the ﬁrst week. Moderately severe acute pancreatitis is deﬁned by the presence of transient organ failure, local complications or exacerbation of co-morbid disease. Severe acute pancreatitis is deﬁned by persistent organ failure, that is, organ failure >48 h.  \nLocal complications are peripancreatic ﬂuid collections, pancreatic and peripancreatic necrosis (sterile or infected), pseudocyst and walled-off necrosis (sterile or infected) . We present a standardised template for reporting CT images.  \nConclusions This international, web-based consensus provides clear deﬁnitions to classify acute pancreatitis using easily identiﬁed clinical and radiologic criteria. The wide consultation among pancreatologists to reach this consensus should encourage widespread adoption.  \nBACKGROUND  \nThe Atlanta Symposium in 1992 attempted to offera global ‘consensus’ and a universally applicable classiﬁcation system for acute pancreatitis.1 Although the Atlanta Classiﬁcation has been useful, some of the deﬁnitions proved confusin","cbCaiqQ68ryzzy8P","https://ap.wps.com/l/cbCaiqQ68ryzzy8P","pdf",591050,"English","# Abstract\n## Background and objective\n## Methods\n## Results\n## Conclusions\n# Background\n## Significance of the study\n# Methods and consensus process\n## Web-based consultation and revisions","[{\"question\":\"What problem does the 2012 revision address in the original Atlanta classification?\",\"answer\":\"The original 1992 definitions became outdated and some were confusing. The revision updates severity assessment and local complication terminology based on better understanding and improved imaging.\"},{\"question\":\"How does the revised classification define severity in acute pancreatitis?\",\"answer\":\"Severity is categorized as mild, moderately severe, or severe. Mild lacks organ failure and complications and typically resolves within the first week; severe requires persistent organ failure, defined as organ failure \\u003e48 hours.\"},{\"question\":\"Which local complications are included, and what guidance is provided for imaging reporting?\",\"answer\":\"Local complications include peripancreatic fluid collections, pancreatic and peripancreatic necrosis (sterile or infected), pseudocyst, and walled-off necrosis (sterile or infected). The document also presents a standardized template for reporting CT images.\"}]","Classification of Acute Pancreatitis - 2012 Revision - International Consensus | PDF",25]