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©The Author(s) 2025.
World J Gastrointest Surg. Nov 27, 2025; 17(11): 110551
Published online Nov 27, 2025. doi: 10.4240/wjgs.v17.i11.110551
Table 1 Classification of post-endoscopic retrograde cholangiopancreatography pancreatitis
Type                                Severity
Advantages and disadvantages
Mild
Moderate
Severe
Consensus classification[22]Length of hospital stay as 2-3 daysLength of hospital stay as 4-10 daysA hospital stay of more than 10 days, or the occurrence of hemorrhagic pancreatitis or pancreatic pseudocysts requiring intervention (percutaneous drainage or surgery)Advantages: (1) Operational simplicity; (2) Strong clinical relevance; and (3) Facilitates statistical analysis and comparison. Disadvantages: (1) Lack of specificity; (2) Lack of sensitivity; and (3) Not applicable to all patient groups
Revised Atlanta classification[27]The absence of complicationsTransient (≤ 48 hours) organ failure or local or systemic complicationsPersistent (> 48 hours) organ failureAdvantages: (1) Clear severity grading; (2) Based on clinical symptoms and signs; and (3) Promote clinical research and comparison. Disadvantages: (1) Inadequate identification of mild PEP cases; (2) Lack of reflection on the dynamic changes of the condition; and (3) Incomplete consideration of prognostic factors


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