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Revista Colombiana de Cirugía
versão impressa ISSN 2011-7582versão On-line ISSN 2619-6107
Resumo
MUNOZ, David; MEDINA, Rolando; BOTACHE, Wilmer Fernando e ARRIETA, Ricardo Elías. Acute pancreatitis: Key points. Argumentative review of the literature. rev. colomb. cir. [online]. 2023, vol.38, n.2, pp.339-351. Epub 19-Jan-2023. ISSN 2011-7582. https://doi.org/10.30944/20117582.2206.
Introduction.
Acute pancreatitis is a common gastrointestinal condition that is associated with significant morbidity and mortality. It is estimated that its incidence is 34 per 100,000 inhabitants, it mainly affects adults from the sixth decade of life, and in our region, most of the cases are secondary to gallbladder stones.
Methods.
We present a review of the fundamental aspects of this disease, common and potentially fatal.
Results.
Diagnosis requires finding clinical manifestations, increased serum pancreatic enzymes, and sometimes the use of diagnostic imaging. It can be classified as mild, moderate and severe, which is essential to determine the need for treatment and monitoring in an intensive care unit.
Conclusion.
Currently, the pillars of management of acute pancreatitis are early fluid therapy, pain management, early oral food intake, and resolution of the etiology. In the presence of complications or a severe course of the disease, antibiotic management and invasive interventions may be required.
Palavras-chave : pancreas; acute pancreatitis; acute necrotizing pancreatitis; abdominal pain; acute abdomen.