Abstract
According to JPN guidelines for the management of acute pancreatitis, a Japanese Ministry of Health, Labour and Welfare Criteria (JMHLW Criteria) score of 2 or more is the criterion for transfer. It is desirable to transfer patients with severe acute pancreatitis (SAP) to a medical institution where monitoring and systemic management are available. Patients with SAP should be cared by full-time physicians specialized in intensive care, endoscopic treatment, radiological intervention, and cholangiopancreatic surgery. The aim of these recommendations is to improve the outcomes and mortality of patients with SAP. In Japan as well as United Kingdom and Europe, practical guidelines for SAP have not been widely introduced and fully accepted. Publication alone of nationally developed and approved guidelines is insufficient to modify the practice of non-specialists. This has implications for the rationale of creating guidelines, and for strategies accociated with their introduction to various clinicians.
