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GI - Pancreatitis

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Interventions for necrotising pancreatitis.
Gurusamy KS, Belgaumkar AP, Haswell A, Pereira SP, Davidson BR.
Cochrane Database Syst Rev. 2016 Apr 16;4:CD011383.

Rationale for inclusion: 8 RCT were included, none of which were considered high quality by the authors.  The suggestion was that minimally invasive procedures with step-up to more invasive ones (e.g. drains followed by sinus tract endoscopic necrosectomy) were probably safer than open necrosectomy.  We await the TENSION trial from the Netherlands.

Citations  - To review the number of citations for this landmark paper, visit Google Scholar.

Revised Atlanta and determinant-based classification: application in a prospective cohort of acute pancreatitis patients.
Nawaz H, Mounzer R, Yadav D, Yabes JG, Slivka A, Whitcomb DC, Papachristou GI.
Am J Gastroenterol. 2013 Dec;108(12):1911-7.

Rationale for inclusion: This is a comparison of the Atlanta 1992, Atlanta 2012, and determinant-based (PANCREA) classification groups in a prospective cohort.  Not surprisingly, DBC and Atlanta 2012 outperformed Atlanta 1992.

Citations  - To review the number of citations for this landmark paper, visit Google Scholar.

American College of Gastroenterology guideline: management of acute pancreatitis.
Tenner S, Baillie J, DeWitt J, Vege SS; American College of Gastroenterology.
Am J Gastroenterol. 2013 Sep;108(9):1400-15; 1416.

Rationale for inclusion: Good general overview, covering resuscitation, imaging, post-ERCP care, timing and appropriateness of interventions on fluid collections.

Citations  - To review the number of citations for this landmark paper, visit Google Scholar.

IAP/APA evidence-based guidelines for the management of acute pancreatitis.
Working Group IAP/APA Acute Pancreatitis Guidelines
Pancreatology. 2013 Jul-Aug;13(4 Suppl 2):e1-15.

Rationale for inclusion: 38 recommendations (most 'strong' per GRADE) on 12 topics - diagnostics/prognostics, imaging, fluids, ICU management, prevention of infection, nutritional support, biliary tract management, indications/timing/strategies for intervention, timing of cholecyestecomy.

Citations  - To review the number of citations for this landmark paper, visit Google Scholar.

Determinant-based classification of acute pancreatitis severity: an international multidisciplinary consultation.
Dellinger EP, Forsmark CE, Layer P, Lévy P, Maraví-Poma E, Petrov MS, Shimosegawa T, Siriwardena AK, Uomo G, Whitcomb DC, Windsor JA; Pancreatitis Across Nations Clinical Research and Education Alliance (PANCREA).
Ann Surg. 2012 Dec;256(6):875-80.

Rationale for inclusion: This is the PANCREA group's determinant-based classification (or DBC in some references) for acute pancreatitis.  Classification (mild, moderate, severe, and critical) is based on the presence or absence of infected pancreatic necrosis and organ failure.

Citations  - To review the number of citations for this landmark paper, visit Google Scholar.

Haemodynamic optimisation improves tissue microvascular flow and oxygenation after major surgery: a randomised controlled trial.
Jhanji S, Vivian-Smith A, Lucena-Amaro S, Watson D, Hinds CJ, Pearse RM.
Crit Care. 2010;14(4):R151.

Citations  - To review the number of citations for this landmark paper, visit Google Scholar.

Percutaneous necrosectomy and sinus tract endoscopy in the management of infected pancreatic necrosis: an initial experience.
Carter CR, McKay CJ, Imrie CW.
Ann Surg. 2000 Aug;232(2):175-80.

Rationale for inclusion: First documentation of sinus tract endoscopy for pancreatic necrosectomy.

Citations  - To review the number of citations for this landmark paper, visit Google Scholar.

Cystogastrotomy entirely performed under endosonography guidance for pancreatic pseudocyst: results in six patients.
Giovannini M, Bernardini D, Seitz JF.
Gastrointest Endosc. 1998 Aug;48(2):200-3.

Rationale for inclusion: Very early paper (6 patients) with EUS-guided cyst gastrostomy.

Citations  - To review the number of citations for this landmark paper, visit Google Scholar.

A clinically based classification system for acute pancreatitis. Summary of the International Symposium on Acute Pancreatitis, Atlanta, Ga, September 11 through 13, 1992.
Bradley EL 3rd.
Arch Surg. 1993 May;128(5):586-90.

Rationale for inclusion: This is the original paper describing the Atlanta classification for acute pancreatitis.

Citations  - To review the number of citations for this landmark paper, visit Google Scholar.

The timing of surgical treatment of pancreatic pseudocysts.
Shatney CH, Lillehei RC.
Surg Gynecol Obstet. 1981 Jun;152(6):809-12.

Rationale for inclusion: This is the first article in PubMed that I could find addressing surgical care of pseudocysts.  Optimal timing of surgery was recommended at 4 weeks out.

Citations  - To review the number of citations for this landmark paper, visit Google Scholar.

"Marsupialization" in the treatment of pancreatic abscess.
Davidson ED, Bradley EL 3rd.
Surgery. 1981 Feb;89(2):252-6.

Rationale for inclusion:  This is the first description of "marsupialization" - open necrosectomy with open packing and repeated staged debridements of the necrotic pancreas.

Citations  - To review the number of citations for this landmark paper, visit Google Scholar.

Endoscopic pancreatography in management of relapsing acute pancreatitis.
Cotton PB, Beales JS.
Br Med J. 1974 Mar 30;1(5908):608-11.

Rationale for inclusion: two very early articles from this team on the utility of ERCP in pancreatitis.

Citations  - To review the number of citations for this landmark paper, visit Google Scholar.

Proceedings: Endoscopy and retrograde cholangiopancreatography (ERCP) in the management of patients with relapsing pancreatitis.
Cotton PB, Beales JS.
Gut. 1973 Oct;14(10):828.

Rationale for inclusion: two very early articles from this team on the utility of ERCP in pancreatitis.

Citations  - To review the number of citations for this landmark paper, visit Google Scholar.

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