Acute pancreatitis: Etiology, clinical presentation, diagnosis, and therapy

被引:104
作者
Cappell, Mitchell S. [1 ]
机构
[1] William Beaumont Hosp, Div Gastroenterol, Dept Med, Royal Oak, MI 48073 USA
关键词
D O I
10.1016/j.mcna.2008.04.013
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Acute pancreatitis is a relatively common disease that affects about 300,000 patients per annum in America with a mortality of about 7%. About 75% of pancreatitis is caused by gallstones or alcohol. Other important causes include hypertriglyceridemia, medication toxicity, trauma from endoscopic retrograde cholangiopancreatography, hypercalcemia, abdominal trauma, various infections, autoimmune, ischemia, and hereditary causes. In about 15% of cases the cause remains unknown after thorough investigation. This article discusses the causes, diagnosis, imaging findings, therapy, and complications of acute pancreatitis.
引用
收藏
页码:889 / +
页数:37
相关论文
共 178 条
[1]  
Akhrass R, 1997, AM SURGEON, V63, P598
[2]   Clinical laboratory assessment of acute pancreatitis [J].
Al-Bahrani, AZ ;
Ammori, BJ .
CLINICA CHIMICA ACTA, 2005, 362 (1-2) :26-48
[3]   Tamoxifen-induced severe hypertriglyceridaemia and acute pancreatitis [J].
Alagozlu, Hakan ;
Cindoruk, Mehmet ;
Unal, Selahattin .
CLINICAL DRUG INVESTIGATION, 2006, 26 (05) :297-302
[4]   Acute pancreatitis: value and impact of CT severity index [J].
Alhajeri, Abdulnasser ;
Erwin, Sven .
ABDOMINAL IMAGING, 2008, 33 (01) :18-20
[5]   The natural history of pain in alcoholic chronic pancreatitis [J].
Ammann, RW ;
Muellhaupt, B .
GASTROENTEROLOGY, 1999, 116 (05) :1132-1140
[6]   Hypocalcemia in patients with acute pancreatitis: A putative role for systemic endotoxin exposure [J].
Ammori, BJ ;
Barclay, GR ;
Larvin, M ;
McMahon, MJ .
PANCREAS, 2003, 26 (03) :213-217
[7]   ACUTE-PANCREATITIS - VALUE OF CT IN ESTABLISHING PROGNOSIS [J].
BALTHAZAR, EJ ;
ROBINSON, DL ;
MEGIBOW, AJ ;
RANSON, JHC .
RADIOLOGY, 1990, 174 (02) :331-336
[8]   IMAGING AND INTERVENTION IN ACUTE-PANCREATITIS [J].
BALTHAZAR, EJ ;
FREENY, PC ;
VANSONNENBERG, E .
RADIOLOGY, 1994, 193 (02) :297-306
[9]   Practice guidelines in acute pancreatitis [J].
Banks, Peter A. ;
Freeman, Martin L. .
AMERICAN JOURNAL OF GASTROENTEROLOGY, 2006, 101 (10) :2379-2400
[10]   Pancreatic ultrasonography [J].
Bennett, GL ;
Hann, LE .
SURGICAL CLINICS OF NORTH AMERICA, 2001, 81 (02) :259-+