[Intensive therapy of acute necrotizing pancreatitis]

The prognosis of pancreatitis can be improved by persistent involvement of intensive therapy in the therapeutic concept applied to acute cases. Abdominal lavage, properly timed relaparotomy, analgesia through peridural catheter, artificial ventilation in cases of respiratory insufficiency, and adequate fluid substitution are some of the measures by which the course of acute pancreatitis can be most effectively tackled. Results so far obtained from this therapeutic concept are reported in some detail.