Open research questions in Pancreatitis Pathology and Treatment
179 unresolved questions extracted from the limitations and future-work sections of 492 Pancreatitis Pathology and Treatment papers in our library. Each links back to the study that raised it.
What the literature leaves open
One challenge is the management of severe acute pancreatitis, which remains a significant clinical challenge. Another challenge is the opioid-induced bowel dysfunction, which often exacerbates the condition. The study also faced challenges in recruiting patients, with 214 patients excluded from the study.
Association between thoracic epidural analgesia and gastrointestinal failure in acute pancreatitis: a prospective exploratory cohort study in Vietnam · 2026 · DOIsingle-center study, - small sample size (66 patients), - lack of long-term follow-up
Association between thoracic epidural analgesia and gastrointestinal failure in acute pancreatitis: a prospective exploratory cohort study in Vietnam · 2026 · DOIThe technical challenge of navigating the endoscope from the pancreatic tail into the left paracolic gutter and pelvic cavity. The risk of bleeding and perforation during the procedure. The need for careful patient selection and multidisciplinary collaboration for successful management of infected necrotizing pancreatitis in pediatric patients.
Endoscopic transgastric necrosectomy for infected necrotizing pancreatitis extending from the lesser Sac to the paracolic gutter in a pediatric patient: a case report · 2026 · DOILimited data regarding efficacy and safety of endoscopic drainage in pediatric patients, - Experience with EN in pediatric patients with extensive necrosis remains extremely limited
Endoscopic transgastric necrosectomy for infected necrotizing pancreatitis extending from the lesser Sac to the paracolic gutter in a pediatric patient: a case report · 2026 · DOIFurther studies are needed to validate the findings. Research on the association between CTI and AP severity in different populations is needed. Studies on the potential mechanisms underlying the association between CTI and AP severity are required.
C-reactive protein–triglyceride–glucose index predicts acute pancreatitis severity: a retrospective cross-sectional study · 2026 · DOICurrent tools for early risk stratification of acute pancreatitis have limitations. Reliable early markers for acute pancreatitis severity remain an unmet clinical need. The study aims to address this gap by investigating the predictive value of CTI.
C-reactive protein–triglyceride–glucose index predicts acute pancreatitis severity: a retrospective cross-sectional study · 2026 · DOIFurther studies are needed to evaluate the prognostic utility of RDW-based ratios in dogs with acute pancreatitis, - Research should focus on larger and more diverse populations, - The use of other biomarkers and their combination with RDW-based ratios should be explored
Prognostic utility of red blood cell distribution width-based ratios and their individual components for mortality prediction in dogs with acute pancreatitis · 2026 · DOIThe use of red blood cell distribution width-based ratios in canine acute pancreatitis has not been evaluated. The prognostic utility of these ratios in dogs with acute pancreatitis is unknown.
Prognostic utility of red blood cell distribution width-based ratios and their individual components for mortality prediction in dogs with acute pancreatitis · 2026 · DOIHowever, the genetic architectures of AP and CP remain incompletely defined, as does the degree to which the two conditions share a common genetic basis.
Multi-population genome-wide association meta-analysis of acute and chronic pancreatitis · 2026 · DOIAlthough step-up treatment has reduced the need for open pancreatic necrosectomy (OPN), the role of robot-assisted pancreatic necrosectomy (RAPN) remains unclear.
Robot-assisted pancreatic necrosectomy for infected pancreatic necrosis secondary to severe acute pancreatitis: a single-center retrospective cohort study · 2026 · DOIBlood purification (BP) is increasingly utilized in severe or hypertriglyceridemia-associated AP, yet the overall patterns and cross-dimensional heterogeneity of post-BP laboratory shifts remain poorly characterized.
Multisystem laboratory changes before and after blood purification in acute pancreatitis: a real-world descriptive analysis of 141 cases · 2026 · DOIAlthough preliminary studies suggest that quercetin can alleviate inflammation and oxidative stress in AP, clinical evidence remains limited.
Quercetin as a therapeutic agent for acute pancreatitis: a comprehensive review of antioxidant, anti-inflammatory, and immunomodulatory mechanisms · 2025 · DOIFuture research should focus on strategies to enhance its bioavailability and on conducting large-scale randomized controlled trials to more comprehensively assess its efficacy and safety in the treatment of AP.
Quercetin as a therapeutic agent for acute pancreatitis: a comprehensive review of antioxidant, anti-inflammatory, and immunomodulatory mechanisms · 2025 · DOIDisruptions in intestinal microbiota exacerbate this imbalance; however, the mechanisms by which commensal bacteria regulate SAP-induced SIRS and/or CARS remain unclear.
Akkermansia Muciniphila Alleviates Severe Acute Pancreatitis via Amuc1409‐Ube2k‐Foxp3 Axis in Regulatory T Cells · 2025 · DOIpylori CagA + infection has been implicated with an increased risk of developing extragastric diseases such as pancreatic cancer; however, the mechanisms remain unclear.
Although a multitude of animal studies demonstrated that antioxidant therapy has beneficial effects in experimental AP by reducing oxidative injury, inflammatory markers, and ameliorating histological outcomes, human trials showed predominantly conflicting results, with some studies suggesting benefit while others showed no effect, or even potential harm, when antioxidants were administered in high doses or in combination.
Targeting Oxidative Stress in Acute Pancreatitis: A Critical Review of Antioxidant Strategies · 2025 · DOIAlthough we previously identified two types of pancreatic fatty infiltration with different lipid compositions that were associated with precancerous lesions and fibrosis, their mechanisms of action have not been clarified.
The clinical and CT/MRI features of senile AP are insufficient and the results are inconsistent.
However, the mechanism by which vancomycin impacts the progression of PSC remains unknown.
Clostridium Scindens Protects Against Vancomycin‐Induced Cholestasis and Liver Fibrosis by Activating Intestinal FXR‐FGF15/19 Signaling · 2024 · DOIBackground: The comorbidity of chronic pancreatitis (CP) in patients with osteoarthritis (OA) is insufficiently studied, and the reciprocal impact of these conditions remains poorly understood.
Predictive analysis of osteoarthritis and chronic pancreatitis comorbidity: complications and risk factors · 2024 · DOIAlthough T2DM has been shown to have a close relationship with AP, the common mechanisms underlying the two conditions remain unclear.
Exploring the pathogenesis, biomarkers, and potential drugs for type 2 diabetes mellitus and acute pancreatitis through a comprehensive bioinformatic analysis · 2024 · DOIThe role of bile acids (BAs) in diverse inflammatory diseases is increasingly recognized as crucial, but the underlying role of BA conjugation remains elusive.
Conjugated bile acids alleviate acute pancreatitis through inhibition of TGR5 and NLRP3 mediated inflammation · 2024 · DOIBACKGROUND: Acute pancreatitis (AP) is a clinically common acute abdominal disease, whose pathogenesis remains unclear.
The integration of single-cell and bulk RNA-seq atlas reveals ERS-mediated acinar cell damage in acute pancreatitis · 2024 · DOIThe complexity of the gut microbiota-SCFAs axis. The lack of understanding of the mechanism of action of Traditional Chinese Medicine in intervening in acute pancreatitis. The need for further studies to explore the potential of the gut microbiota-SCFAs axis in the prevention and treatment of acute pancreatitis.
Gut Microbiota-short-chain Fatty Acid Axis: Novel Perspective for Traditional Chinese Medicine Intervention in Acute Pancreatitis · 2026 · DOIThe specific disease name 'AP' does not exist in ancient Chinese medical texts. The mechanism of action of Traditional Chinese Medicine in intervening in acute pancreatitis is not fully understood.
Gut Microbiota-short-chain Fatty Acid Axis: Novel Perspective for Traditional Chinese Medicine Intervention in Acute Pancreatitis · 2026 · DOI
Most-cited papers in Pancreatitis Pathology and Treatment
- Probiotic prophylaxis in predicted severe acute pancreatitis: a randomised, double-blind, placebo-controlled trial · The Lancet · 2008 · 1,153 citations
- Acute Pancreatitis: Diagnosis and Treatment · Drugs · 2022 · 487 citations
- The syndrome of pancreatic insufficiency and bone marrow dysfunction · The Journal of Pediatrics · 1964 · 465 citations
- Alcohol Consumption, Cigarette Smoking, and the Risk of Recurrent Acute and Chronic Pancreatitis · Archives of Internal Medicine · 2009 · 404 citations
- Pediatric Chronic Pancreatitis Is Associated with Genetic Risk Factors and Substantial Disease Burden · The Journal of Pediatrics · 2014 · 191 citations
- Drug-Induced Pancreatitis · Drug Safety · 2008 · 171 citations
- The changing incidence of acute pancreatitis in children: A single-institution perspective · The Journal of Pediatrics · 2002 · 155 citations
- Etiology and Outcome of Acute Pancreatitis in Infants and Toddlers · The Journal of Pediatrics · 2007 · 129 citations
- European guidelines for the diagnosis and treatment of pancreatic exocrine insufficiency: UEG, EPC, EDS, ESPEN, ESPGHAN, ESDO, and ESPCG evidence‐based recommendations · United European Gastroenterology Journal · 2024 · 83 citations
- Volanesorsen to Prevent Acute Pancreatitis in Hypertriglyceridemia · New England Journal of Medicine · 2024 · 82 citations
Most recent work
- Minor Papillotomy for Treatment of Idiopathic Acute Pancreatitis With Pancreas Divisum · JAMA · 2026
- GLP-1 drugs: New warning after rise in reported deaths from pancreatitis · BMJ · 2026
- Immediate or On-Demand Endoscopic Necrosectomy for Necrotizing Pancreatitis: A Randomized Controlled Trial (WONDER-01) · Gastroenterology · 2026
- Conceptual framework and expert guidance on intrapancreatic fat deposition: the Melbourne consensus · Nature Reviews Gastroenterology & Hepatology · 2026
- Non-invasive liquid biopsy based on metabolomic profiling improves diagnosis and early warning of severe acute pancreatitis · npj Digital Medicine · 2026
- Development and validation of dynamic clinical subphenotypes for acute pancreatitis using hematocrit and blood urea nitrogen trajectories in intensive care unit: a multicenter retrospective cohort study · Journal of Advanced Research · 2026
- Upfront endoscopic necrosectomy versus step-up endoscopic approach for walled-off pancreatic necrosis: a systematic review and meta-analysis · Gastrointestinal Endoscopy · 2026
- Etiology, diagnosis, and management of chronic pancreatitis associated primary complications: a narrative review · Frontiers in Medicine · 2026
- Letter: Severity‐Informed Enrichment for Recurrent Acute Pancreatitis Trials · Alimentary Pharmacology & Therapeutics · 2026
- Glucagon-like peptide-1 receptor agonists and pancreatic outcomes in chronic pancreatitis: a real-world cohort study · BMC Gastroenterology · 2026
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