Modern management of acute pancreatitis.
Gastroenterol Clin North Am
; 41(1): 1-8, 2012 Mar.
Article
in En
| MEDLINE
| ID: mdl-22341246
ABSTRACT
There is a rising incidence of acute pancreatitis in the United States. Numerous clinical prognostic scoring systems have been developed, including the BISAP score. Vigorous fluid resuscitation remains a cornerstone of early management of acute pancreatitis. Cross-sectional imaging in the early phase of evaluation has not been associated with improvement of outcomes. There is no role for prophylactic antibiotics in early management. However, there is growing emphasis on the identification and treatment of extrapancreatic infections. Enteral nutrition in severe acute pancreatitis has reduced mortality, systemic infection, and multiorgan dysfunction compared to parenteral nutrition. Conservative management consisting of percutaneous drainage and delayed surgical intervention is now favored for local complications, such as infected necrosis. These developments have contributed to improved outcomes for patients with acute pancreatitis.
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pancreatitis
Type of study:
Prognostic_studies
Limits:
Humans
Language:
En
Journal:
Gastroenterol Clin North Am
Journal subject:
GASTROENTEROLOGIA
Year:
2012
Type:
Article
Affiliation country:
United States