Surgical Approach for Acute Pancreatitis

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Surgical management of severe acute pancreatitis.

The substantial morbidity and mortality associated with severe acute pancreatitis has led to a variety of therapeutic approaches. We reviewed the records of 40 patients who had undergone the "triple-tube" procedure (gastrostomy, cholecystostomy, and jejunostomy) with drainage of the lesser sac and retroperitoneum. Cardiovascular, respiratory, renal, and hepatic dysfunction were common, and reop...

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During 2002 the International Association of Pancreatology developed evidenced-based guidelines on the surgical management of acute pancreatitis. There were 11 guidelines, 10 of which were recommendations grade B and one (the second) grade A. (1) Mild acute pancreatitis is not an indication for pancreatic surgery. (2) The use of prophylactic broad-spectrum antibiotics reduces infection rates in...

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Surgical Options for Chronic Pancreatitis

The early teaching used to be “Eat when you can, sleep when you can and don’t operate on the pancreas”. Also the belief was that God put the pancreas at the back because He did not want surgeons messing with it. It was Rufus of Ephesus (c. 100AD) who named the organ ‘‘Pancreas’’ (in Greek Pan: all, Kreas: Flesh or meat). Then it was Homer who used the word ‘sweetbread’’ broadly to describe anim...

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Acute Pancreatitis (AP) and Dietary Habbits

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Acute pancreatitis is an inflammatory condition that is clinically manifested by abdominal pain and elevated serum levels of pancreatic enzymes. Hypertriglyceridemia is the third most common cause of acute pancreatitis. The present report aimed to describe a case of hypertriglyceridemia-induced acute pancreatitis, where the therapeutic approach was plasmapheresis. A 48-year-old female patient w...

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ژورنال

عنوان ژورنال: Korean Journal of Medicine

سال: 2013

ISSN: 1738-9364

DOI: 10.3904/kjm.2013.85.2.135