[Management of acute pancreatitis in the emergency department and the intensive care unit]. / Management der akuten Pankreatitis in der Notaufnahme und Intensivstation.
Med Klin Intensivmed Notfmed
; 119(2): 156-164, 2024 Mar.
Article
en De
| MEDLINE
| ID: mdl-38285193
ABSTRACT
Acute pancreatitis is a gastrointestinal emergency where diagnosis is based on typical symptoms, increased serum lipase concentration, and abdominal imaging. Local complications and organ failure in severe acute pancreatitis regularly necessitate treatment in the intensive care unit and are associated with increased mortality rates. Only optimal interdisciplinary treatment can improve the prognosis of patients with severe acute pancreatitis. This article gives guidance on the initial diagnostic and etiological examinations as well as on the evaluation of organ failure and the severity assessment according to common classification systems. Furthermore, the endoscopic management of biliary pancreatitis and infected necrosis is discussed and the basics of targeted volume therapy, nutrition, and indications for antibiotic treatment are reviewed.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Pancreatitis
Tipo de estudio:
Guideline
Límite:
Humans
Idioma:
De
Revista:
Med Klin Intensivmed Notfmed
Año:
2024
Tipo del documento:
Article