Knowledge acquired from Clinical Guidelines on the Diagnosis and Treatment of Acute Pancreatitis by attending physicians and residents in hospitals in Veracruz

F B Roesch-Dietlen; L Salgado-Vergara; Y J Sánchez-Maza; D I Durán-Álvarez; F Díaz-Roesch; J M Remes-Troche; M G Carrillo-Toledo

doi:10.1016/j.rgmx.2020.04.010

Knowledge acquired from Clinical Guidelines on the Diagnosis and Treatment of Acute Pancreatitis by attending physicians and residents in hospitals in Veracruz

Rev Gastroenterol Mex (Engl Ed). 2021 Apr-Jun;86(2):133-139. doi: 10.1016/j.rgmx.2020.04.010. Epub 2021 Mar 19.

[Article in English, Spanish]

Authors

F B Roesch-Dietlen¹, L Salgado-Vergara², Y J Sánchez-Maza³, D I Durán-Álvarez², F Díaz-Roesch⁴, J M Remes-Troche⁵, M G Carrillo-Toledo⁶

Affiliations

¹ Departamento de Gastroenterología, Instituto de Investigaciones Médico-Biológicas, Universidad Veracruzana, Veracruz, Ver, México. Electronic address: federicoroesch@hotmail.com.
² Facultad de Medicina, Universidad Veracruzana, Veracruz, Ver, México.
³ Departamento de Anestesia, Hospital General de México Dr. Eduardo Liceaga, Secretaría de Salud, Ciudad de México, México.
⁴ Facultad de Medicina, Universidad Cristóbal Colón, Veracruz, Ver, México.
⁵ Laboratorio de Fisiología y Motilidad avanzada, Instituto de Investigaciones MédicoBiológicas, Universidad Veracruzana, Veracruz, Ver, México.
⁶ Departamento de Enseñanza y Bioestadística, Instituto de Investigaciones Médico-Biológicas, Universidad Veracruzana, Veracruz, Ver, México.

PMID: 33752942
DOI: 10.1016/j.rgmx.2020.04.010

Abstract

Introduction: Clinical practice guidelines on the diagnosis and treatment of acute pancreatitis (CPGDTAP) have been designed in an effort to reduce the morbidity and mortality of that severe disease.

Aim: To identify the knowledge acquired from CPGDTAP in hospitals in Veracruz.

Materials and methods: A descriptive, observational, multicenter study was conducted at four hospitals in Veracruz, through the application of a survey to evaluate the knowledge of attending physicians and residents that treat patients with acute pancreatitis. Descriptive statistics were employed to analyze the results.

Results: A total of 74 physicians were surveyed: 55.41% of whom were attending physicians and 44.59% of whom were resident physicians. The majority of physicians (67.57%) were familiar with CPGDTAP from the Asociación Mexicana de Gastroenterología (AMG), followed by those of the General Health Council of the Mexican Department of Health (CENETEC, the Spanish acronym) (54.05%) and the American College of Gastroenterology (ACG) (48.65%). A total of 97.30% of the physicians routinely use a nasogastric tube, 79.73% considered early enteral nutrition to be very important, as did 98.65% regarding generous fluid replacement, 85.14% did not routinely use antimicrobials, 63.51% ordered a CAT scan at 72h or later, and 87.84% answered that infected necrosis was the indication for surgery, preferably after the third week.

Discussion and conclusions: In our hospital environment, the CPGDTAP issued by the AMG and CENETEC were the most well-known, but their recommended measures were given importance by under 85% of the physicians surveyed. Therefore, the diffusion of the knowledge they contain is advisable to guarantee optimal results in acute pancreatitis management.

Keywords: Acute pancreatitis; Clinical practice guidelines on diagnosis and treatment; Conocimiento; Guías de práctica clínica para el diagnóstico y tratamiento; Knowledge; Pancreatitis aguda.