Research advances in acute pancreatitis scoring system
10.3969/j.issn.1001-5256.2022.09.046
- VernacularTitle:急性胰腺炎评分系统的研究进展
- Author:
Xiuping LUO
1
;
Jie WANG
1
;
Qing WU
1
;
Mengbin QIN
1
;
Shiquan LIU
1
;
Jiean HUANG
1
Author Information
1. Department of Gastroenterology, The Second Affiliated Hospital of Guangxi Medical University, Nanning 530007, China
- Publication Type:Reviews
- Keywords:
Pancreatitis;
Score;
Prognosis
- From:
Journal of Clinical Hepatology
2022;38(9):2188-2192
- CountryChina
- Language:Chinese
-
Abstract:
Acute pancreatitis (AP) is a severe disease with an increasing incidence rate in clinical practice. Although most patients have mild pancreatitis, the fatality rate of severe pancreatitis remains at a relatively high level, and therefore, early-stage, simple, and accurate clinical scoring systems are urgently needed to determine the severity of AP, so as to facilitate effective disease management and symptomatic treatment and reduce the fatality rate of patients. At present, a large number of studies have demonstrated that the scoring systems such as Ranson score, APACHE Ⅱ score, BISAP score, CTSI score, and some serological markers have been used to evaluate the severity and prognosis of AP, but all of them have certain limitations. This article reviews the research advances in the existing scoring systems, single serological markers, and related modified scoring systems in recent years. Through a literature review, it is concluded that there is no a single scoring system or a single indicator that can cover the whole process of AP diagnosis and treatment and accurately judge the severity of AP, and therefore, it is necessary to develop a new scoring system or combine various indicators for comprehensive evaluation.
