Aetiology and management of acute pancreatitis
| Autor: | M.J. McMahon, P.J. Curley |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
medicine.medical_specialty
Necrosis Percutaneous medicine.diagnostic_test business.industry medicine.medical_treatment Critical Care and Intensive Care Medicine medicine.disease Anesthesiology and Pain Medicine Parenteral nutrition Fine-needle aspiration Supportive psychotherapy medicine Etiology Acute pancreatitis Cholecystectomy medicine.symptom business Intensive care medicine |
| Zdroj: | Current Anaesthesia & Critical Care. 4:19-25 |
| ISSN: | 0953-7112 |
| Popis: | The majority of patients with acute pancreatitis require little specialist treatment, can be managed on a general surgical ward and, if gallstone induced should undergo cholecystectomy (or endoscopic sphincterotomy if frail) during the recovery phase of their illness. A minority of patients develop severe attacks and should undergo extensive clinical, biochemical and radiological evaluation to determine the requirement for intensive care admission. Failure to improve despite maximal supportive therapy in the setting of documented pancreatic necrosis, infected pancretic necrosis on percutaneous fine needle aspiration and the development of specific complications are relative indications for surgical debridement of the necrotic retroperitoneum. The majority of severely ill patients require parenteral nutrition, frequent reassessment and often protracted admission to the ICU. These are the patients in whom experimental therapies may be useful in the future such as oxygen free radical scavengers. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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