Early management of acute pancreatitis: A review of the best evidence.

In the 20th century early management of acute pancreatitis often included surgical intervention, despite overwhelming mortality. The emergence of high-quality evidence (randomized controlled trials and meta-analyses) over the past two decades has notably shifted the treatment paradigm towards predom...

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Detalhes bibliográficos
Autores: Stigliano S, Sternby H, de Madaria E, Capurso G, Petrov MS
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2017
País:España
Recursos:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
Repositório:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
OAI Identifier:oai:isabial.fundanetsuite.com:p1853
Acesso em linha:https://isabial.portalinvestigacion.com/publicaciones1853
Access Level:Acceso aberto
Palavra-chave:Acute pancreatitis, Antibiotics, Endoscopic treatment, Enteral feeding, Fluid resuscitation, Pain management
Descrição
Resumo:In the 20th century early management of acute pancreatitis often included surgical intervention, despite overwhelming mortality. The emergence of high-quality evidence (randomized controlled trials and meta-analyses) over the past two decades has notably shifted the treatment paradigm towards predominantly non-surgical management early in the course of acute pancreatitis. The present evidence-based review focuses on contemporary aspects of early management (which include analgesia, fluid resuscitation, antibiotics, nutrition, and endoscopic retrograde cholangiopancreatography) with a view to providing clear and succinct guidelines on early management of patients with acute pancreatitis in 2017 and beyond.

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