Outcome prediction, fluid resuscitation, pain management, and antibiotic prophylaxis in severe acute pancreatitis

2015 ◽  
Vol 41 (11) ◽  
pp. 2034-2035 ◽  
Author(s):  
Wolfgang Huber ◽  
Viktoria Kemnitz ◽  
Veit Phillip ◽  
Roland M. Schmid ◽  
Andreas Faltlhauser
Keyword(s):  
Acute Pancreatitis ◽  
Pain Management ◽  
Antibiotic Prophylaxis ◽  
Severe Acute Pancreatitis ◽  
Fluid Resuscitation ◽  
Outcome Prediction

scholarly journals Interventional Treatment of Abdominal Compartment Syndrome during Severe Acute Pancreatitis: Current Status and Historical Perspective

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Dejan V. Radenkovic ◽  
Colin D. Johnson ◽  
Natasa Milic ◽  
Pavle Gregoric ◽  
Nenad Ivancevic ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Conservative Treatment ◽  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Severe Acute Pancreatitis ◽  
Fluid Resuscitation ◽  
Interventional Treatment ◽  
Invasive Approach ◽  
Aggressive Fluid Resuscitation ◽  
Abdominal Compartment

Abdominal compartment syndrome (ACS) in patients with severe acute pancreatitis (SAP) is a marker of severe disease. It occurs as combination of inflammation of retroperitoneum, visceral edema, ascites, acute peripancreatic fluid collections, paralytic ileus, and aggressive fluid resuscitation. The frequency of ACS in SAP may be rising due to more aggressive fluid resuscitation, a trend towards conservative treatment, and attempts to use a minimally invasive approach. There remains uncertainty about the most appropriate surgical technique for the treatment of ACS in SAP. Some unresolved questions remain including medical treatment, indications, timing, and interventional techniques. This review will focus on interventional treatment of this serious condition. First line therapy is conservative treatment aiming to decrease IAP and to restore organ dysfunction. If nonoperative measures are not effective, early abdominal decompression is mandatory. Midline laparostomy seems to be method of choice. Since it carries significant morbidity we need randomized studies to establish firm advantages over other described techniques. After ACS resolves efforts should be made to achieve early primary fascia closure. Additional data are necessary to resolve uncertainties regarding ideal timing and indication for operative treatment.

Systematic review and meta-analysis of antibiotic prophylaxis in severe acute pancreatitis

2010 ◽  
Vol 46 (3) ◽  
pp. 261-270 ◽  
Author(s):  
Mathias Wittau ◽  
Benjamin Mayer ◽  
Jan Scheele ◽  
Doris Henne-Bruns ◽  
E. Patchen Dellinger ◽  
...  
Keyword(s):  
Systematic Review ◽  
Acute Pancreatitis ◽  
Antibiotic Prophylaxis ◽  
Severe Acute Pancreatitis ◽  
Meta Analysis

The effects of fluid resuscitation according to PiCCO on the early stage of severe acute pancreatitis

Pancreatology ◽  
2015 ◽  
Vol 15 (5) ◽  
pp. 497-502 ◽  
Author(s):  
Yun Sun ◽  
Zhong-hua Lu ◽  
Xin-shu Zhang ◽  
Xiao-ping Geng ◽  
Li-jun Cao ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Severe Acute Pancreatitis ◽  
Fluid Resuscitation ◽  
Early Stage

Antibiotic prophylaxis is not protective in severe acute pancreatitis: a systematic review and meta-analysis

2009 ◽  
Vol 197 (6) ◽  
pp. 806-813 ◽  
Author(s):  
Nadim S. Jafri ◽  
Suhal S. Mahid ◽  
Spencer R. Idstein ◽  
Carlton A. Hornung ◽  
Susan Galandiuk
Keyword(s):  
Systematic Review ◽  
Acute Pancreatitis ◽  
Antibiotic Prophylaxis ◽  
Severe Acute Pancreatitis ◽  
Meta Analysis

Faster Rate of Initial Fluid Resuscitation in Severe Acute Pancreatitis Diminishes In-Hospital Mortality

Pancreatology ◽  
2009 ◽  
Vol 9 (6) ◽  
pp. 770-776 ◽  
Author(s):  
Timothy B. Gardner ◽  
Santhi Swaroop Vege ◽  
Suresh T. Chari ◽  
Bret T. Petersen ◽  
Mark D. Topazian ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Hospital Mortality ◽  
Severe Acute Pancreatitis ◽  
Fluid Resuscitation

Antibiotic prophylaxis in severe acute pancreatitis

Pancreatology ◽  
2005 ◽  
Vol 5 (1) ◽  
pp. 10-19 ◽  
Author(s):  
H.G. Beger ◽  
B. Rau ◽  
R. Isenmann ◽  
M. Schwarz ◽  
F. Gansauge ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Antibiotic Prophylaxis ◽  
Severe Acute Pancreatitis

Naso-jejunal fluid resuscitation in predicted severe acute pancreatitis: Randomized comparative study with intravenous Ringer's lactate

2015 ◽  
Vol 31 (1) ◽  
pp. 265-269 ◽  
Author(s):  
Vishal Sharma ◽  
Surinder S Rana ◽  
Ravi Sharma ◽  
Vinita Chaudhary ◽  
Rajesh Gupta ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Comparative Study ◽  
Severe Acute Pancreatitis ◽  
Fluid Resuscitation ◽  
Ringer’S Lactate
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