Jaipuria J, Bhandari V, Chawla AS, Singh M. Intra-abdominal pressure: Time ripe to revise management guidelines of acute pancreatitis? World J Gastrointest Pathophysiol 2016; 7(1): 186-198 [PMID: 26909242 DOI: 10.4291/wjgp.v7.i1.186]
Corresponding Author of This Article
Jiten Jaipuria, MS, MRCS (Edinburgh), FIAGES, Senior Registrar, Department of General Surgery, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi 110029, India. jitenjaipuria@yahoo.co.in
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Systematic Reviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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: http://creativecommons.org/licenses/by-nc/4.0/
Jiten Jaipuria, Vimal Bhandari, Avneet Singh Chawla, Mohit Singh, Department of General Surgery, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi 110029, India
Author contributions: Jaipuria J initially conceptualized the idea of paper; Jaipuria J and Bhandari V performed the literature search; all authors read the manuscripts selected in initial search; initial draft was prepared by Jaipuria J which was further modified by intellectual inputs by all the authors; all authors approved the final draft.
Conflict-of-interest statement: All authors have no conflicts of interest or financial ties to disclose.
Data sharing statement: All data pertaining to review was obtained from PubMed, Medline, Scopus and Google search of open access sources. No additional data are available.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Jiten Jaipuria, MS, MRCS (Edinburgh), FIAGES, Senior Registrar, Department of General Surgery, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi 110029, India. jitenjaipuria@yahoo.co.in
Telephone: +91-98-68812182 Fax: +91-11-26163072
Received: June 30, 2015 Peer-review started: July 4, 2015 First decision: July 29, 2015 Revised: September 8, 2015 Accepted: November 3, 2015 Article in press: November 4, 2015 Published online: February 15, 2016 Processing time: 215 Days and 13.3 Hours
Core Tip
Core tip: Intra-abdominal hypertension is not merely an epiphenomenon but offers a unique point of specific intervention in acute pancreatitis and there is increasing data to show improved mortality with appropriate management. It is frequent and may be observed in at least 50% patients with severe disease. Moreover it acts as confounder in management related issues of fluid therapy, nutritional support and antibiotic prophylaxis; and understanding its pathophysiology coherently explains many dichotomies which presently lowers internal validity of much available evidence. Incorporating surveillance for intra-abdominal pressure in select subgroup of patients may help better tailor individualized treatment to patients with most severe spectrum of disease. Recommendations by World Society of the Abdominal Compartment Syndrome may be followed by practicing clinician to guide decision making.
