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World J Gastroenterol. May 14, 2023; 29(18): 2747-2763
Published online May 14, 2023. doi: 10.3748/wjg.v29.i18.2747
Current trends in acute pancreatitis: Diagnostic and therapeutic challenges
Enver Zerem, Admir Kurtcehajic, Suad Kunosić, Dina Zerem Malkočević, Omar Zerem
Enver Zerem, Department of Medical Sciences, The Academy of Sciences and Arts of Bosnia and Herzegovina, Sarajevo 71000, Bosnia and Herzegovina
Admir Kurtcehajic, Department of Gastroenterology and Hepatology, Plava Medical Group, Tuzla 75000, Bosnia and Herzegovina
Suad Kunosić, Department of Physics, Faculty of Natural Sciences and Mathematics, University of Tuzla, Tuzla 75000, Bosnia and Herzegovina
Dina Zerem Malkočević, Omar Zerem, Department of Internal Medicine, Cantonal Hospital “Safet Mujić“ Mostar, Mostar 88000, Bosnia and Herzegovina
Author contributions: Zerem E contributed to conception and design of the paper, writing of the paper and final revision; Kurtcehajic A, Kunosić S, Zerem Malkočević D and Zerem O contributed to the literature search, writing of the paper and final revision of the paper.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Corresponding author: Enver Zerem, MD, PhD, Professor, Department of Medical Sciences, The Academy of Sciences and Arts of Bosnia and Herzegovina, Bistrik 7, Sarajevo 71000, Bosnia and Herzegovina.
Received: January 9, 2023
Peer-review started: January 9, 2023
First decision: February 1, 2023
Revised: February 7, 2023
Accepted: April 18, 2023
Article in press: April 18, 2023
Published online: May 14, 2023
Core Tip

Core Tip: Acute pancreatitis (AP) is an inflammatory disease of the pancreas, with abnormal trypsinogen activation as the primary pathogenesis and varies from clinically mild to fulminant form. Severe forms of AP are a relatively common cause of death. Progress in the establishment of biochemical, imaging and clinical criteria for the severity and prognosis of the disease has markedly influenced the therapeutic approach and the outcome of the disease. This article presents the diagnostic and therapeutic modalities with regard to their effectiveness, complications and treatment failure, as well as discussing some of the controversial issues in the treatment of AP.