Abstract

SANCHEZ, Rosa et al. Paraguayan Consensus regarding diagnosis and treatment of acute pancreatitis in adults. Guide for surgeons - 2025. Cir. parag. [online]. 2025, vol.49, n.1, pp.24-38. ISSN 2307-0420.  https://doi.org/10.18004/sopaci.2025.abril.24.

This document outlines the consensus reached by Paraguayan experts on the handling of acute pancreatitis (AP). The objective is to unify diagnostic and treatment criteria based on scientific evidence adapted to the local context, aiming to improve the quality of care and promote research in this field.

The methodology involved selecting 24 experts through a national survey, who were then organized into three working groups to address different aspects of AP. A comprehensive review of the scientific literature was conducted, covering publications from 1990 to 2024.

The document defines AP as an acute inflammatory process of the pancreas, with biliary lithiasis and alcohol consumption as the leading causes. Severity is classified as mild, moderate, severe, or critical, based on the presence of necrosis, organ failure, and complications. It highlights the importance of clinical parameters, laboratory tests (lipase and amylase), and imaging studies.

Use of the Petrov or revised Atlanta classification is recommended to assess the severity of AP, along with the Marshall scoring system to evaluate systemic complications.

CT scanning is considered essential for grading severity and diagnosing complications, particularly between the third and tenth day of disease progression. Ultrasound is emphasized as a valuable initial tool for identifying biliary causes and detecting early complications.

Ultimately, the goal is to standardize the handling of AP and improve patient outcomes with this pathology in Paraguay.

Keywords : acute pancreatitis; diagnostic; classification; treatment.

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