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Severe Acute Pancreatitis - How Conservative Can We Be?
Christian Alberts1, Guido Alsfasser1
1Department of General, Thoracic, Vascular and Transplantation Surgery, University of Rostock, Rostock, Germany.
Visceral Medicine
|January 25, 2019
Summary
Conservative treatment for acute pancreatitis with pancreatic necrosis offers reduced mortality for selected patients. Treatment in experienced centers is crucial for optimal outcomes in acute pancreatitis management.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
Background:
- Acute pancreatitis remains a high-mortality disease.
- Advances in understanding pathophysiology have led to improved treatment algorithms and decreased mortality.
- A new international classification system guides treatment strategies based on disease course.
Purpose of the Study:
- To review and compare key studies on acute pancreatitis treatment.
- To discuss findings within the context of the latest international classification system.
Main Methods:
- Literature search in the PubMed database for acute pancreatitis treatment.
- Comparison of results from key studies.
Main Results:
- Conservative treatment for acute pancreatitis with pancreatic necrosis is a viable option for selected cases.
- Conservative therapy is associated with reduced mortality compared to aggressive treatments.
Conclusions:
- Conservative management is a valid treatment option for selected acute pancreatitis cases.
- Treatment in experienced centers is recommended for patients with acute pancreatitis.
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