Intra-abdominal Hypertension and Abdominal Compartment Syndrome in Acute Pancreatitis

Asencio, Carla Mancilla; Fleiszig, Zoltán Berger

doi:10.5772/59304

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2021

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“…El tratamiento de esta entidad cuenta con varias estrategias: mejorar distensibilidad y evacuar contenido abdominal, manejo de fluidos, mantener presión de perfusión abdominal >60 mmHg. En caso de no responder, se debe recurrir a laparostomía descompresiva, siendo una indicación excepcional de cirugía precoz en PA grave (37) .…”

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Pancreatitis aguda. Diagnóstico y enfrentamiento inicial en la práctica clínica

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2021

Rev. Hosp. Clín. Univ. Chile (En línea)

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Acute pancreatitis is a prevalent disease, with variable clinical course: several patients recover quickly and uneventfully, while others require treatment in critical care units with long hospital stay and even with a considerable mortality. The patient’s symptoms, laboratory tests and radiological images allow diagnosis without major difficulties. However, early identification of more severe cases can be difficult, and it determines the adequate selection of the hospitalization unit and the quick initiation of the appropriate therapy. In this paper we give some practical treatment guidelines for the everyday clinical practice: immediate severity stratification, fluid replacement and pain control. Early enteral nutrition, monitorization of severe cases in critical care units, adequate therapeutic but no prophylactic use of antibiotics assures the best treatment results.

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Section: Complicacionesunclassified

Pancreatitis aguda. Diagnóstico y enfrentamiento inicial en la práctica clínica

Uribe

2021

Rev. Hosp. Clín. Univ. Chile (En línea)

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show abstract

Intra-abdominal Hypertension and Abdominal Compartment Syndrome in Acute Pancreatitis

Cited by 1 publication

References 27 publications

Pancreatitis aguda. Diagnóstico y enfrentamiento inicial en la práctica clínica

Pancreatitis aguda. Diagnóstico y enfrentamiento inicial en la práctica clínica

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