Management of pancreatic necrosis in severe acute pancreatitis

被引:24
作者
Vege, SS [1 ]
Baron, TH [1 ]
机构
[1] Mayo Clin, Coll Med, Div Gen Internal Med, Rochester, MN 55905 USA
关键词
D O I
10.1016/S1542-3565(04)00668-8
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
A 45-year-old man with acute pancreatitis (AP) was in his eighth day of hospitalization with persistent abdominal pain and fever. A contrast-enhanced abdominal computerized tomography scan showed greater than 50% of the gland was nonenhancing, consistent with pancreatic necrosis. In this patient, what is the role of prophylactic antibiotics, fine needle aspiration of the pancreatic necrosis, nutritional support, and debridement/necrosectomy by surgical or endoscopic route? Read the optimal management based on published guidelines.
引用
收藏
页码:192 / 196
页数:5
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