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| 1 | ERCP in acute pancreatitis:What takes place in routine clinical practice?显示文摘AIM:To evaluate the data from a survey carried out in Italy regarding the endoscopic approach to acute pancreatitis in order to obtain a picture of what takes place after the release of an educational project on acute pancreatitis sponsored by the Italian Association for the Study of the Pancreas.METHODS:Of the 1 173 patients enrolled in our survey,the most frequent etiological category was biliary forms(69.3%) and most patients had mild pancreatitis(85.8%).RESULTS:344/1 173(29.3%) underwent endoscopic retrograde cholangiopancreatography(ERCP).The mean interval between the onset of symptoms and ERCP was 6.7 ± 5.0 d;only 89 examinations(25.9%) were performed within 72 h from the onset of symptoms.The main indications for ERCP were suspicion of common bile duct stones(90.3%),jaundice(44.5%),clini cal worsening of acute pancreatitis(14.2%) and cho langitis(6.1%).Biliary and pancreatic ducts were visua lized in 305 patients(88.7%) and in 93 patients(27.0%) respectively.The success rate in obtaining a cholangio gram was statistically higher(P = 0.003) in patients with mild acute pancreatitis(90.6%) than in patients with severe disease(72.2%).Biliary endoscopic sphinc terotomy was performed in 295 of the 305 patients(96.7%) with no difference between mild and severe disease(P = 0.985).ERCP morbidity was 6.1% and mortality was 1.7%;the mortality was due to the complications of acute pancreatitis and not the endoscopic procedure.CONCLUSION:The results of this survey,as with those carried out in other countries,indicate a lack of compliance with the guidelines for the indications for interventional endoscopy. | Armando Gabbrielli Raffaele Pezzilli Generoso Uomo Alessandro Zerbi Luca Frulloni Paolo De Rai Laura Castoldi Guido Costamagna Claudio Bassi Valerio Di Carlo | 2010 | World Journal of Gastrointestinal Endoscopy2010，2，9： | 14 |
| 2 | Determinant-Based Classification of Acute Pancreatitis Severity: An International Multidisciplinary Consultation显示文摘 | E. Patchen Dellinger Christopher E. Forsmark Peter Layer Philippe Lévy Enrique Maraví-Poma Maxim S. Petrov Tooru Shimosegawa Ajith K. Siriwardena Generoso Uomo David C. Whitcomb John A. Windsor | 2012 | Annals of Surgery2012，，6： | 7 |
| 3 | 基于局部因素和全身因素对急性胰腺炎严重程度的新分级——概要与解读显示文摘急性胰腺炎严重程度的准确分级对于临床实践和研究十分重要。在临床实践中,准确的分型有助于正确地评估疾病的严重程度,监测疾病的发展,制定治疗策略。而临床研究中,准确的分型对于患者的正确入组、实验结果的有效性都有很大影响。一个多世纪以来,急性胰腺炎的严重程度被简单地分为轻型和重型,而且对于轻型和重型的定义尚未统一。近年来,研究发现重型胰腺炎又有不同的亚组,而不同亚组患者的预后有很大差异,轻型和重型二分法的局限性慢慢显现。 | 李维勤 张璐瑶 黎介寿 E.Patchen Dellinger Christopher E.Forsmark Peter Layer Philippe L'evy Enrique Maravi-Poma Maxim S.Petrov Tooru Shimosegawa Ajith K.Siriwardena Generoso Uomo David C.Whitcomb John A.Windsor | 2014 | 浙江医学2014，36，10： | 2 |
| 4 | Comparison of two dosing regimens of gabexate in the prophylaxis of post-ERCP pancreatitis显示文摘 | Enzo Masci Giorgio Cavallini Alberto Mariani Luca Frulloni Pier Alberto Testoni Simona Curioni Alberto Tittobello Generoso Uomo Guido Costamagna Sandro Zambelli Gianpiero Macarri Paolo Innocenti Carola Dragonetti | 2003 | The American Journal of Gastroenterology2003，，10： | 2 |
| 5 | Diagnosis and treatment of acute pan- ereatitis: the position statement of the Italian Association for the study of the pancreas显示文摘 | Pezzilli R Uomo G Zerbi A | 2008 | Dig Liver Dis2008，40，10： | 1 |
| 6 | Pseudocysts in acute nonalcoholic pancreatitis:incidence and natural history显示文摘 | Maringhini A Uomo G Patti R | 1999 | Dig Dis Sci1999，44，1： | 1 |
| 7 | Diagnosis and treatment of acute pancreatitis: The position statement of the Italian Association for the study of the pancreas显示文摘 | R. Pezzilli G. Uomo A. Zerbi A. Gabbrielli L. Frulloni P. De Rai G. Delle Fave V. Di Carlo | 2008 | Digestive and Liver Disease2008，，10： | 1 |
| 8 | The incidence of main pancreatic duct disruption in severe biliary pancreatitis显示文摘 | Uomo G Molina D Viscoriti M | 1998 | Am J Surg1998，176，： | 1 |
| 9 | Diagnostic assessment and outcome of acute pancreatitis in Italy: Results of a prospective multicentre study显示文摘 | G. Uomo R. Pezzilli A. Gabbrielli L. Castoldi A. Zerbi L. Frulloni P. De Rai G. Cavallini V. Di Carlo | 2007 | Digestive and Liver Disease2007，，9： | 1 |
| 10 | Inflammatory pancreatic diseases in older patients: recognition and management显示文摘 | Uomo G | 2003 | Drugs Aging2003，28，2： | 1 |
| 11 | Relationship of sliding hiatus hernia to gas-troesophageal reflux disease:a possible role for Helicobacter pylori infection显示文摘 | Manes G Pieramico O Uomo G | 2003 | Dig Dis Sci2003，48，： | 1 |
| 12 | Anorexia-cachexia syn- drome in pancreatic cancer: recent development in re- search and management显示文摘 | Uomo G Gallucci F Rabitti PG | 2006 | JOP2006，7，2： | 1 |
| 13 | Pseudocysts in acute nonalcoholic pancreatitis: incidence and natural history显示文摘 | MARINGHINI A UOMO G PATTI R | 1999 | Dig Dis Sci1999，44，： | 1 |
| 14 | Serum creatinine and chest graphs in the early assessment of atute pancreatitis显示文摘 | Talamini G Uomo G Pezzilli R | 1999 | Am J Surg1999，177，： | 1 |
| 15 | Endoscopic sphincterotomy for actue pancreatitis:arguments in favor 显示文摘 | Uomo G Slavin J | 1998 | Ital J Gatroenterohepatol1998，30，： | 1 |
| 16 | Pancreatic head mass: how can we treat it? Acute pancreatitis: conservative management 显示文摘 | Uomo G | 2000 | JOP2000，1，3： | 1 |
| 17 | Timing of antibiotic prophylax is in acute pancreatitis:a controlled randomized study with meropenem显示文摘 | Manes G Uomo I Menchise A | 2006 | Am J Gastroenterol2006，101，6： | 1 |
| 18 | Efficacy of postprocedure administration of gabexate mesylate in the prevention of post-ERCP pancreatitis: a randomized, controlled, multicenter study显示文摘 | Gianpiero Manes Sandro Ardizzone Giovanni Lombardi Generoso Uomo Oreste Pieramico Gabriele Bianchi Porro | 2007 | Gastrointestinal Endoscopy2007，，7： | 1 |
| 19 | Endoscopic sphincter-otomy for acute pancreati-tis:arguments in favor显示文摘 | SLAVIN J | 1998 | Ital J Gatroenterol Hepatol1998，30，： | 1 |
| 20 | Nonsurgical treatment of acute necrotizing pancreatitis显示文摘 | Uomo G Visconti M Manes G | 1996 | Pancreas1996，12，2： | 1 |
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