[Pancreas and biliary tract: recent developments]. / Últimos avances en páncreas y vías biliares.
Gastroenterol Hepatol
; 37 Suppl 3: 107-12, 2014 Sep.
Article
em Es
| MEDLINE
| ID: mdl-25294273
ABSTRACT
Acute pancreatitis (AP) is a common disease that is associated with significant morbidity and considerable mortality. In this article, developments relating to this disease that were presented in DDW 2014 are reviewed. Pancreatic steatosis could be a cause of recurrent AP. Patients with DM have an increased incidence of AP and pancreatic cancer. The use of anti-TNF drugs in inflammatory bowel disease may protect against the occurrence of AP. The presence of pancreas divisum protects against acute biliary pancreatitis. The PANCODE system for describing local complications of AP has good interobserver agreement, when the new definitions of the revised Atlanta classification are applied. The use of prophylactic antibiotics in early-stage AP predisposes the development of intra-abdominal fungal infections. Fluid sequestration in AP is linked with young age, alcoholism and indicators of systemic inflammatory response syndrome. The most common cause of mortality in AP is early onset of multiple organ failure, not pancreatic necrosis infection. Patients with AP and vitamin D deficiency could benefit from taking vitamin D supplements. Moderate fluid administration in emergencies (500-1000 mL) could be associated with better AP development.
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Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Pancreatite
Tipo de estudo:
Etiology_studies
Limite:
Humans
Idioma:
Es
Ano de publicação:
2014
Tipo de documento:
Article