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Invalidity of Tokyo guidelines in acute biliary pancreatitis: A multicenter cohort analysis of 944 pancreatitis cases.

Márk Félix JuhászRebeka TóhátiViktória Adrienn JászaiRegina MolnárNelli FarkasLászló CzakóÁron VinczeBálint ErőssAndrea SzentesiFerenc IzbékiMária PappBálint ErőssAndrea Párniczkynull null
Published in: United European gastroenterology journal (2023)
Around 70% of biliary AP patients fulfilled the TG18 for AC/CC, associated with a high rate of antibiotic use. Mortality in presumed mild or moderate AC/CC is low. Each of the laboratory and clinical criteria are commonly fulfilled in biliary AP, single imaging findings are also unspecific-AP specific diagnostic criteria are needed, as the prevalence of AC/CC are likely greatly overestimated. Randomized trials testing antibiotic use are also warranted.
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