Abstract
The first edition of the JPN Guidelines for the Management of Acute Pancreatitis was published in July 2003, and an English version was published in the Journal of Hepato-Biliary-Pancreatic Surgery in 2006 with the aim of receiving comments from many professional clinicians in foreign countries. The guidelines were formulated with the aim of providing practical management advice for achieving better prognoses of acute pancreatitis in Japan under the Japanese health insurance system. The guidelines are composed of evidence-based recommendations and indicate transfer rules for patients with higher JPN scores. Now, four years have passed since the first publication and several new lines of evidence have been reported. The necessity of revising the guidelines according to such new findings had been anticipated before the first publication. And in view of the usefulness of these guidelines, many discussions at various meetings have been held. Current concepts and efforts for the revised edition will be described.
