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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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2021
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/27892 |
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| Sumario: | 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.
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