{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:47:23Z","timestamp":1762868843876,"version":"3.40.5"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,6,29]],"date-time":"2022-06-29T00:00:00Z","timestamp":1656460800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Hepato Biliary Pancreat"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The initial management of patients with acute pancreatitis impacts both morbidity and mortality. Point\u2010of\u2010care decisions have been reported to differ from clinical guideline recommendations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An online anonymous questionnaire was distributed through scientific associations and social media using REDCap. Multivariable logistic regression was used to identify the characteristics of participants associated with compliance with the recommendations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 1054 participants from 94 countries completed the questionnaire; median age (IQR) was 39 (32\u201347) years; 30.7% were women. Among the participants, 37% opted for nonmoderate flow of i.v. fluid, 31% for fluid type other than Ringer\u2019s lactate; 73.4% were in favor of nil per os to patients who could eat, 75.5% for other than enteral feeding to patients with oral intolerance; 15.5% used prophylactic antibiotic in patients with severe acute pancreatitis, 34.1% in necrotizing acute pancreatitis, and 27.4% in patients with systemic inflammatory response syndrome; 27.8% delayed cholecystectomy after biliary acute pancreatitis. Participants with publications in PubMed on acute pancreatitis showed better compliance (OR, 1.62; 95% CI: 1.15\u20132.32; <jats:italic>P<\/jats:italic>\u00a0=\u00a0.007) with recommendations of the clinical guidelines.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Feeding and nutrition require the greatest improvement efforts, but also the use of prophylactic antibiotics and timing of cholecystectomy should be improved.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jhbp.1201","type":"journal-article","created":{"date-parts":[[2022,6,18]],"date-time":"2022-06-18T14:16:08Z","timestamp":1655561768000},"page":"325-337","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["International multidisciplinary survey on the initial management of acute pancreatitis: Perspective of point\u2010of\u2010care specialists focused on daily practice"],"prefix":"10.1002","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3063-6590","authenticated-orcid":false,"given":"Nuria","family":"Llu\u00eds","sequence":"first","affiliation":[{"name":"Division of Hepatobiliary and Pancreas Surgery Miami Cancer Institute  Miami Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Horacio","family":"Asbun","sequence":"additional","affiliation":[{"name":"Division of Hepatobiliary and Pancreas Surgery Miami Cancer Institute  Miami Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc G.","family":"Besselink","sequence":"additional","affiliation":[{"name":"Department of Surgery Amsterdam UMC, University of Amsterdam, Amsterdam Gastroenterology Endocrinology Metabolism  Amsterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriele","family":"Capurso","sequence":"additional","affiliation":[{"name":"Pancreato\u2010Biliary Endoscopy and Endosonography Division, Pancreas Translational &amp; Clinical Research Center San Raffaele Scientific Institute IRCCS, Vita\u2010Salute San Raffaele University  Milan Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pramod Kumar","family":"Garg","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology All India Institute of Medical Sciences  New Delhi India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andres","family":"Gelrud","sequence":"additional","affiliation":[{"name":"Pancreatic Disease Center, Interventional Endoscopy Miami Cancer Institute, Gastro Health  Miami Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wafaa","family":"Khannoussi","sequence":"additional","affiliation":[{"name":"Hepato\u2010Gastroenterology Department Mohammed VI University Hospital  Oujda Morocco"},{"name":"Laboratoire de Recherche des Maladies Digestives (LARMAD) Mohammed The First University  Oujda 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