Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

[Current approach to pancreatic necrosis]

J M Chebli1, E V Martins, M M das Neves

  • 1Gastroenterologia Clínica da Universidade Federal de São Paulo.

Arquivos De Gastroenterologia
|October 1, 1995
PubMed
Summary

Acute pancreatitis is rising, with necrosis in 10-20% of cases causing severe illness. Diagnosis relies on imaging, with dynamic pancreatography being optimal, and treatment is mainly conservative, including antibiotics for severe or infected cases.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

[Changes in ultra rapid urease test and histopathological examination for Helicobacter pylori by antisecretory drugs].

Arquivos de gastroenterologia·2001
Same author

Fatal evolution of systemic lupus erythematosus associated with Crohn's disease.

Arquivos de gastroenterologia·2001
Same author

[Biliary microcrystals in idiopathic acute pancreatitis: clue for occult underlying biliary etiology].

Arquivos de gastroenterologia·2001
Same author

"Idiopathic" acute pancreatitis due to biliary sludge: prevention of relapses by endoscopic biliary sphincterotomy in high-risk patients.

The American journal of gastroenterology·2000
Same author

Autoimmune pancreatitis and hepatitis: an uncommon association.

The American journal of gastroenterology·2000
Same author

[Hyperlipemic pancreatitis: clinical course].

Arquivos de gastroenterologia·1999

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Context:

  • Acute pancreatitis incidence is increasing globally.
  • Pancreatic necrosis complicates 10-20% of acute pancreatitis cases, leading to significant morbidity and mortality.

Purpose:

  • To outline the diagnostic and therapeutic strategies for pancreatic necrosis.
  • To emphasize the role of imaging and targeted interventions in managing this severe condition.

Summary:

  • Clinical and biochemical suspicion of pancreatic necrosis is confirmed by imaging, with dynamic pancreatography being the preferred method.
  • Primary treatment is conservative. Prophylactic antibiotics are used in biliary pancreatitis and severe cases.
  • Suspected infection requires imaging-guided aspiration for Gram stain and culture. Treatment involves antibiotics with good necrotic tissue penetration, surgical necrosectomy, and drainage if infection is confirmed.

Impact:

  • Improved diagnostic accuracy for pancreatic necrosis.
  • Optimized treatment protocols for better patient outcomes in severe pancreatitis.
  • Guidance on antibiotic use and surgical intervention in infected pancreatic necrosis.

Related Experiment Videos