ArticleJournal of gastroenterology2009
Utility of the new Japanese severity score and indications for special therapies in acute pancreatitis.
Article in Journal of gastroenterology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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Who cites it
29 citing papers in PubMed.
- Development and validation of a predictive model for acute kidney injury in patients with moderately severe and severe acute pancreatitis.Clinical and experimental nephrology · 2022Trial
- Factors Associated with ICU Admission and In-Hospital Mortality in Patients with Acute Pancreatitis: A Single-Center Retrospective Study.Journal of inflammation research · 2026Article
- Long-Term All-Cause Mortality After Acute Pancreatitis: Median 7-Year Follow-Up.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2025Article
- Visceral obesity anthropometric indicators as predictors of acute pancreatitis severity.Frontiers in medicine · 2025Article
- Evaluating the Therapeutic Efficiency and Efficacy of Blood Purification for Treating Severe Acute Pancreatitis: A Single-Center Data Based on Propensity Score Matching.International journal of general medicine · 2024Article
- Predictive Value of Troponin I, Creatinine Kinase Isoenzyme and the New Japanese Severity Score in Severe Acute Pancreatitis.Patient preference and adherence · 2024Article
- Establishment and validation of early prediction model for hypertriglyceridemic severe acute pancreatitis.Lipids in health and disease · 2023Article
- Acute pancreatitis: A review of diagnosis, severity prediction and prognosis assessment from imaging technology, scoring system and artificial intelligence.World journal of gastroenterology · 2023Review
- Severe Acute Pancreatitis Prediction: A Model Derived From a Prospective Registry Cohort.Cureus · 2023Article
- Fabp5 is a common gene between a high-cholesterol diet and acute pancreatitis.Frontiers in nutrition · 2023Article
- Non-linear correlation between amylase day 2 to day 1 ratio and incidence of severe acute pancreatitis.Frontiers in cellular and infection microbiology · 2022Article
- C-reactive protein predicts the development of walled-off necrosis in patients with severe acute pancreatitis.JGH open : an open access journal of gastroenterology and hepatology · 2021Article
- The relationship between serum histon levels and the severity of acute pancreatitis.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2019Article
- Development and validation of a risk prediction score for severe acute pancreatitis.Journal of translational medicine · 2019Article
- Fluid sequestration is a useful parameter in the early identification of severe disease of acute pancreatitis.Journal of gastroenterology · 2019Article
- Obesity and pancreatitis.Current opinion in gastroenterology · 2017Review
- Transition of early-phase treatment for acute pancreatitis: An analysis of nationwide epidemiological survey.World journal of gastroenterology · 2017Article
- Validation of the efficacy of the prognostic factor score in the Japanese severity criteria for severe acute pancreatitis: A large multicenter study.United European gastroenterology journal · 2017Article
- No weekend effect on outcomes of severe acute pancreatitis in Japan: data from the diagnosis procedure combination database.Journal of gastroenterology · 2016Observational
- Management of acute pancreatitis in Japan: Analysis of nationwide epidemiological survey.World journal of gastroenterology · 2016Article
Corrections and comments
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Authors and funding
10 authors.
Funding
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Abstract
backgroundThe Japanese severity score (JSS) for acute pancreatitis was revised in 2008. As special therapies for severe acute pancreatitis (SAP), continuous regional arterial infusion of protease inhibitor and antibiotics (CRAI) and enteral nutrition (EN) are now utilized in Japan. We investigated the usefulness of the new JSS and the indications for CRAI and EN based on the new JSS.
methodsWe assessed the new JSS in 138 patients with SAP according to the previous Japanese criteria. Usefulness of the new JSS for the prediction of mortality rates was compared with conventional scoring systems by receiver-operator characteristic curve analysis. We analyzed the relationship between the new JSS and prognosis in patients with and without CRAI and EN, respectively.
resultsForty-five patients (33%) were assessed as having mild acute pancreatitis, and 93 patients (67%) were assessed as having SAP. Their mortality rates were 7 and 40%, respectively. The area under the curve for the prediction of mortality rates with the new JSS was 0.822 and was the highest among conventional scoring systems. In patients with new JSS >or= 6, the mortality rate was lower in patients with CRAI than in patients without CRAI (P = 0.129). In patients with new JSS >or= 4, the mortality rate was lower in patients with EN than in patients without EN (P = 0.016).
conclusionsThe new JSS is useful and easier to use for the prediction of prognosis compared to the conventional scoring systems. EN was effective in reducing the mortality rate in patients with a new JSS >or= 4.
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