Chronology and current status of the therapeutic in acute pancreatitis

This article realize a retrospective analysis of the course of acute pancreatitis and  evidence changes of concepts upon physiopathogenesis aspects, the natural history of the  disease and the therapeutic management. The responsability of the biliary factor its accepted but the cl...

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Autor principal: Salazar, Jorge Ricardo
Formato: Artículo revista
Lenguaje:Español
Publicado: Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021
Materias:
necrosis pancreática infectada y necrosis aséptica
tomografía dinámica
necrosectomía
S.I.R.S
M.O.D.S
pseudoquiste agudo
Acceso en línea:https://revistas.unc.edu.ar/index.php/med/article/view/27892
Aporte de:
Revista de la Facultad de Ciencias Médicas de Córdoba de Universidad Nacional de Córdoba
id I10-R327-article-27892
record_format ojs
spelling I10-R327-article-278922024-08-27T18:27:47Z Chronology and current status of the therapeutic in acute pancreatitis Cronología y estado actual de las conductas terapeúticas en la pancreatitis aguda Salazar, Jorge Ricardo necrosis pancreática infectada y necrosis aséptica tomografía dinámica necrosectomía S.I.R.S M.O.D.S pseudoquiste agudo This article realize a retrospective analysis of the course of acute pancreatitis and  evidence changes of concepts upon physiopathogenesis aspects, the natural history of the  disease and the therapeutic management. The responsability of the biliary factor its accepted but the classic mechanism of the biliopancreatic rellux by common chanel its on discussion. Relativeness to natural history of the acute pancreatitis, however of to remain un known sone aspects to elluciclate on the future, today its accepted the biphasic course of the severe pancreatitis, with one initial period and other tardif, to second or their week, with septic compiications or evolution to resolution of process. The concept of systemic inflammatory response syndrome and failure of organ systems (renal insufficiency, pulnionary insufficincy) its essential  for interpretation of the orninous eorisequences of one inopportune surgical approach on the early period, associated with  high mortality. One schcmatic personnel square present the different therapeutics procedures along the years, from the distant and clogniatic surgery for principie, until the actual moment where the conservative attitude its of unanimous acquiescence on critie perioci of disease. The  surgery its indicated on second phase, with developing of septic complications, reactivation  or persistence of systeinic inflammatory response syndroine with increasing scverity of  pancreatitis. Un análisis retrospectivo del intrincado curso de las pancreopatías agudas permite  evidenciar cambios desde el punto de vista conceptual tanto en aspectos fisiopatológicos  como en la historia natural tIc la enfermedad y en las conductas terapéuticas. Si bien la responsabilidad del factor biliar no se discute, el clásico mecanismo del reflujo bilio-pancreático por canal común es controvertido. En relación a la historia natural, a pesar que aún presentan interrogantes algunos aspectos que deben ser redefinidos en el futuro, se acepta la evolución bifásica de la pancreatitis agudas grave, con un período inicial o de ataque y otro tardío en el curso de la 2' o semana,  cuando suelen surgir complicaciones sépticas o bien evolucionar hacia la resolución del  proceso. El concepto de respuesta a la injuria o reacción inflamatoria sistemática resulta fundamental para interpretar las nefastas consecuencias de una conducta quirúrgica mal indicada en la etapa temprana de una pancreatitis grave. De manera esquemático se presentan las distintas conductas terapéuticas en el curso de los años desde la lejana y dogmática cirugía por principio, hasta el momento actual, en que el tratamiento conservador es aceptado por unanimidad en el período crítico inicial de la enfermedad, dejando lugar a la cirugía en la fase de complicaciones sépticas y creactivación    persistencia del síndrome de reacción inflamatoria. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2021-03-25 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/27892 10.31053/1853.0605.v62.n1.27892 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 62 No. 1 (2005); 46 - 51 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 62 Núm. 1 (2005); 46 - 51 Revista da Faculdade de Ciências Médicas de Córdoba; v. 62 n. 1 (2005); 46 - 51 1853-0605 0014-6722 spa https://revistas.unc.edu.ar/index.php/med/article/view/27892/29178 Derechos de autor 2021 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0
institution Universidad Nacional de Córdoba
institution_str I-10
repository_str R-327
container_title_str Revista de la Facultad de Ciencias Médicas de Córdoba
language Español
format Artículo revista
topic necrosis pancreática infectada y necrosis aséptica
tomografía dinámica
necrosectomía
S.I.R.S
M.O.D.S
pseudoquiste agudo
spellingShingle necrosis pancreática infectada y necrosis aséptica
tomografía dinámica
necrosectomía
S.I.R.S
M.O.D.S
pseudoquiste agudo
Salazar, Jorge Ricardo
Chronology and current status of the therapeutic in acute pancreatitis
topic_facet necrosis pancreática infectada y necrosis aséptica
tomografía dinámica
necrosectomía
S.I.R.S
M.O.D.S
pseudoquiste agudo
author Salazar, Jorge Ricardo
author_facet Salazar, Jorge Ricardo
author_sort Salazar, Jorge Ricardo
title Chronology and current status of the therapeutic in acute pancreatitis
title_short Chronology and current status of the therapeutic in acute pancreatitis
title_full Chronology and current status of the therapeutic in acute pancreatitis
title_fullStr Chronology and current status of the therapeutic in acute pancreatitis
title_full_unstemmed Chronology and current status of the therapeutic in acute pancreatitis
title_sort chronology and current status of the therapeutic in acute pancreatitis
description This article realize a retrospective analysis of the course of acute pancreatitis and  evidence changes of concepts upon physiopathogenesis aspects, the natural history of the  disease and the therapeutic management. The responsability of the biliary factor its accepted but the classic mechanism of the biliopancreatic rellux by common chanel its on discussion. Relativeness to natural history of the acute pancreatitis, however of to remain un known sone aspects to elluciclate on the future, today its accepted the biphasic course of the severe pancreatitis, with one initial period and other tardif, to second or their week, with septic compiications or evolution to resolution of process. The concept of systemic inflammatory response syndrome and failure of organ systems (renal insufficiency, pulnionary insufficincy) its essential  for interpretation of the orninous eorisequences of one inopportune surgical approach on the early period, associated with  high mortality. One schcmatic personnel square present the different therapeutics procedures along the years, from the distant and clogniatic surgery for principie, until the actual moment where the conservative attitude its of unanimous acquiescence on critie perioci of disease. The  surgery its indicated on second phase, with developing of septic complications, reactivation  or persistence of systeinic inflammatory response syndroine with increasing scverity of  pancreatitis.
publisher Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
publishDate 2021
url https://revistas.unc.edu.ar/index.php/med/article/view/27892
work_keys_str_mv AT salazarjorgericardo chronologyandcurrentstatusofthetherapeuticinacutepancreatitis
AT salazarjorgericardo cronologiayestadoactualdelasconductasterapeuticasenlapancreatitisaguda
first_indexed 2024-09-03T21:01:45Z
last_indexed 2024-09-03T21:01:45Z
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