martes, 10 de abril de 2018

Pancreatitis aguda / Acute pancreatitis

Abril 2, 2018. No. 3041
Guía del American Gastroenterological Association Institute sobre el manejo inicial de la pancreatitis aguda.
American Gastroenterological Association Institute Guideline on Initial Management of AcutePancreatitis.
Gastroenterology. 2018 Mar;154(4):1096-1101. doi: 10.1053/j.gastro.2018.01.032. Epub 2018 Feb 3.
Pancreatitis aguda: perspectivas actuales sobre diagnóstico y tratamiento.
Acute pancreatitis: current perspectives on diagnosis and management.
J Inflamm Res. 2018 Mar 9;11:77-85. doi: 10.2147/JIR.S135751. eCollection 2018.
The last two decades have seen the emergence of significant evidence that has altered certain aspects of the management of acute pancreatitis. While most cases of acute pancreatitis are mild, the challenge remains in managing the severe cases and the complications associated with acute pancreatitis. Gallstones are still the most common cause with epidemiological trends indicating a rising incidence. The surgical management of acute gallstone pancreatitis has evolved. In this article, we revisit and review the methods in diagnosing acute pancreatitis. We present the evidence for the supportive management of the condition, and then discuss the management of acute gallstone pancreatitis. Based on the evidence, our local institutional pathways, and clinical experience, we have produced an outline to guide clinicians in the management of acute gallstone pancreatitis.
KEYWORDS: acute pancreatitis; diagnostic imaging; management of gallstone pancreatitis; severity scoring
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