Gastroenterology Book


Revised Atlanta Criteria for Acute Pancreatitis Severity

Aka: Revised Atlanta Criteria for Acute Pancreatitis Severity
  1. See Also
    1. Acute Pancreatitis
    2. Ranson Criteria
    3. BALI Score
    4. BISAP Score
    5. CT Severity Index in Pancreatitis (Balthazar Computed Tomography Severity Index)
    6. Acute Physiology and Chronic Health Evaluation (APACHE Score)
    7. Modified Glasgow Severity Criteria for Pancreatitis (Imrie Scoring System for Pancreatitis, PANCREAS Score)
  2. Definitions
    1. Organ failure
      1. Shock or
      2. Hypoxemia (paO2 60 mmHg or less)
      3. Serum Creatinine >2 mg/dl
      4. Gastrointestinal Bleeding >500 ml/24 hours
    2. Local complications
      1. Pancreatic necrosis
      2. Pancreatic Abscess
      3. Pseudocyst
    3. Early prognostic signs (systemic complications)
      1. Ranson score 3 or greater
      2. APACHE II Score 8 or greater
  3. Severity: Mild Acute Pancreatitis
    1. No organ failure
    2. No local complications (e.g. peri-pancreatic fluid collection, pancreatic necrosis)
    3. No systemic complications
  4. Severity: Moderate Acute Pancreatitis
    1. Transient organ failure (<48 hours) or
    2. Local complications or
    3. Exacerbation of comorbidity
  5. Severity: Severe Acute Pancreatitis
    1. Persistent organ failure (>48 hours)
  6. Interpretation
    1. Mild Acute Pancreatitis
      1. Mortality <1%
      2. Resolves within 1 week in most cases
    2. Severe Acute Pancreatitis
      1. Mortality approaches 30%
  7. References
    1. Banks (2013) Gut 62(1): 102-11 [PubMed]

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