Treatment of acute pancreatitis
There is no specific treatment for acute pancreatitis. Majority of patients with acute pancreatitis respond to medical therapy. Supportive measures and close observations represent the cornerstone of the medical therapy. Failure to respond to medical treatment may indicate choledocholithiasis or inf...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
1998-01-01
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| Series: | The Saudi Journal of Gastroenterology |
| Online Access: | http://www.saudijgastro.com/article.asp?issn=1319-3767;year=1998;volume=4;issue=1;spage=1;epage=7;aulast=Al-Mofleh |
| _version_ | 1818520575048417280 |
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| author | Al-Mofleh Ibrahim |
| author_facet | Al-Mofleh Ibrahim |
| author_sort | Al-Mofleh Ibrahim |
| collection | DOAJ |
| description | There is no specific treatment for acute pancreatitis. Majority of patients with acute pancreatitis respond to medical therapy. Supportive measures and close observations represent the cornerstone of the medical therapy. Failure to respond to medical treatment may indicate choledocholithiasis or infected necrosis. Endoscopic papillotomy with stone retrieval is beneficial in patients with severe biliary pancreatitis. Image-guided fine needle aspiration and bacteriological examination of aspirate is reliable in detecting infection and deliniating causative pathogen. Surgical debridement is the method of choice for treatment of infected necrosis. In contrast, in pancreatic abscess, surgery is preserved for those, who do not respond to percutaneous drainage combined with antibiotics. The benefit of antisecretory and antiproteolytic agents is debatable. A combination of antioxidants, calcium channel antagonists and antibiotics may play a major role in the treatment of acute pancreatitis in the future. |
| first_indexed | 2024-12-11T01:39:19Z |
| format | Article |
| id | doaj.art-060d1bfa0f94470d9108864210e358e5 |
| institution | Directory Open Access Journal |
| issn | 1319-3767 |
| language | English |
| last_indexed | 2024-12-11T01:39:19Z |
| publishDate | 1998-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | The Saudi Journal of Gastroenterology |
| spelling | doaj.art-060d1bfa0f94470d9108864210e358e52022-12-22T01:25:05ZengWolters Kluwer Medknow PublicationsThe Saudi Journal of Gastroenterology1319-37671998-01-014117Treatment of acute pancreatitisAl-Mofleh IbrahimThere is no specific treatment for acute pancreatitis. Majority of patients with acute pancreatitis respond to medical therapy. Supportive measures and close observations represent the cornerstone of the medical therapy. Failure to respond to medical treatment may indicate choledocholithiasis or infected necrosis. Endoscopic papillotomy with stone retrieval is beneficial in patients with severe biliary pancreatitis. Image-guided fine needle aspiration and bacteriological examination of aspirate is reliable in detecting infection and deliniating causative pathogen. Surgical debridement is the method of choice for treatment of infected necrosis. In contrast, in pancreatic abscess, surgery is preserved for those, who do not respond to percutaneous drainage combined with antibiotics. The benefit of antisecretory and antiproteolytic agents is debatable. A combination of antioxidants, calcium channel antagonists and antibiotics may play a major role in the treatment of acute pancreatitis in the future.http://www.saudijgastro.com/article.asp?issn=1319-3767;year=1998;volume=4;issue=1;spage=1;epage=7;aulast=Al-Mofleh |
| spellingShingle | Al-Mofleh Ibrahim Treatment of acute pancreatitis The Saudi Journal of Gastroenterology |
| title | Treatment of acute pancreatitis |
| title_full | Treatment of acute pancreatitis |
| title_fullStr | Treatment of acute pancreatitis |
| title_full_unstemmed | Treatment of acute pancreatitis |
| title_short | Treatment of acute pancreatitis |
| title_sort | treatment of acute pancreatitis |
| url | http://www.saudijgastro.com/article.asp?issn=1319-3767;year=1998;volume=4;issue=1;spage=1;epage=7;aulast=Al-Mofleh |
| work_keys_str_mv | AT almoflehibrahim treatmentofacutepancreatitis |