Early management of severe acute pancreatitis

被引：36

作者：

Talukdar R. ^{[1
,2
]}

Vege S.S. ^{[1
]}

机构：

[1] Miles and Shirley Fiterman Center for Digestive Diseases, Mayo Clinic, Rochester, MN 55905

[2] Division of Gastroenterology, NEMCARE Hospitals, Guwahati 781024, G. S. Road

来源：

Current Gastroenterology Reports | 2011年 / 13卷 / 2期

关键词：

Bedside assessment for severity in acute pancreatitis; Critical pancreatitis; Early management; Early severe acute pancreatitis; Fluid management; Infected pancreatic necrosis; Moderately severe acute pancreatitis; Persistent organ failure; Prophylactic antibiotics; Severe acute pancreatitis; Severity assessment; Systemic inflammatory response syndrome;

D O I：

10.1007/s11894-010-0174-4

中图分类号：

学科分类号：

摘要：

Significant literature on the management of acute severe acute pancreatitis has emerged in recent years. The new information ranges from data on newer single or multiparameter severity assessment tools and classification systems to therapeutic modalities. However, a few basic issues - the ideal severity assessment modality, volume of intravenous fluids required in the first 48 to 72 h, and the role of prophylactic antibiotics - are still not clear and are subject to controversy. The International Working Group has devised the Revised Atlanta Classification, which will be published soon. This new classification is eagerly awaited worldwide, and hopefully clarifies many of the problems of the original Atlanta Classification. In this article, we discuss the developments that have arisen in the past 2 to 3 years concerning the classification, prognostication, and early management of severe acute pancreatitis. © Springer Science+Business Media, LLC 2011.

引用

页码：123 / 130

页数：7

共 52 条

[1]

Talukdar R., Vege S.S., Recent developments in acute pancreatitis, Clin Gastroenterol Hepatol, 7, (2009)

[2]

Kylanpaa M.J., Repo H., Puolakkainen P.A., Inflammation and immunosuppression in severe acute pancreatitis, World J Gastroenterol, 16, pp. 2867-2872, (2010)

[3]

Banks P.A., Freeman M.L., Practice guidelines in acute pancreatitis, Am J Gastroenterol, 101, pp. 2379-2400, (2006)

[4]

Rau B.M., Predicting severity of acute pancreatitis, Curr Gastroenterol Rep, 9, pp. 107-115, (2007)

[5]

Bradley E.L., Et al., A clinically based classification system for acute pancreatitis, Arch Surg, 128, pp. 586-590, (1993)

[6]

Bollen T.L., Van Santvoort H.C., Besselink M.G., Et al., The Atlanta Classification of acute pancreatitis revisited, Br J Surg, 95, pp. 6-21, (2008)

[7]

Vege S.S., Chari S.T., Organ failure as an indicator of severity of acute pancreatitis: Time to revisit the Atlanta classification, Gastroenterology, 128, 4, pp. 1133-1135, (2005)

[8]

Buter A., Imrie C.W., Carter C.R., Evans S., McKay C.J., Dynamic nature of early organ dysfunction determines outcome in acute pancreatitis, British Journal of Surgery, 89, 3, pp. 298-302, (2002)

[9]

Johnson C.D., Abu-Hilal M., Persistent organ failure during the first week as a marker of fatal outcome in acute pancreatitis, Gut, 53, 9, pp. 1340-1344, (2004)

[10]

Petrov M.S., Shanbag S., Chakraborty M., Et al., Organ failure and infection of pancreatic necrosis as a determinants of mortality in patients with acute pancreatitis, Gastroenterology, 139, pp. 813-820, (2010)

← 1 2 3 4 5 6 →