Pancreatitis aguda

  1. de la Iglesia, D.
  2. Bastón-Rey, I.
Revista:
Medicine: Programa de Formación Médica Continuada Acreditado

ISSN: 0304-5412

Año de publicación: 2020

Serie: 13

Número: 9

Páginas: 467-476

Tipo: Artículo

DOI: 10.1016/J.MED.2020.05.019 DIALNET GOOGLE SCHOLAR

Otras publicaciones en: Medicine: Programa de Formación Médica Continuada Acreditado

Resumen

Resumen La pancreatitis aguda (PA) es una enfermedad frecuente que puede asociarse a una considerable morbilidad (15-20% de los casos) y es potencialmente mortal (2%). Las causas más frecuentes de PA son la litiasis biliar y el consumo de alcohol. El diagnóstico se basa en la presencia de dos de tres hallazgos: dolor abdominal típico, elevación de enzimas pancreáticas en sangre, prueba de imagen compatible con PA. La clasificación de la gravedad de la PA se basa en la presencia de complicaciones locales y/o sistémicas asociadas a la misma. El manejo se basa en medidas de soporte vital, monitorización del paciente durante los primeros días de ingreso, alivio del dolor y tratamiento de las complicaciones. Acute pancreatitis (AP) is a common disease that can be associated with considerably morbidity (15–20% of cases) and can be life-threatening (2%). The most frequent causes of AP are cholelithiasis and alcohol consumption. The diagnosis is based on the presence of 2 of 3 findings: typical abdominal pain, increased levels of pancreatic enzymes in blood and an imaging test compatible with AP. The classification of AP severity is based on the presence of local and/or systemic complications associated with AP. The disease management is based on vital support measures, follow-up during the first days of hospitalisation, pain relief and treatment of complications.

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