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Colegio de Medicina Interna de México.

2009, Número 4

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Med Int Mex 2009; 25 (4)


Pancreatitis aguda

Ledesma-Heyer JP, Arias AJ

Idioma: Español
Referencias bibliográficas: 50
Paginas: 285-294
Archivo PDF: 409.68 Kb.


RESUMEN

La pancreatitis aguda es una enfermedad con aumento en su incidencia, que se asocia con mortalidad elevada de los casos graves, y que implica elevación de los costos hospitalarios, incluso tratándose de casos leves. El desarrollo de múltiples sistemas de predicción de su gravedad ha permitido identificar tempranamente sus complicaciones y esto ha reducido la mortalidad asociada. Sin embargo, su tratamiento poco se ha modificado en las últimas décadas, a pesar de la enorme investigación en el área y el desarrollo de medicamentos para disminuir la respuesta inflamatoria asociada. En la actualidad no existe consenso en varios aspectos del tratamiento, como la profilaxis antibiótica. En este artículo se revisan las generalidades de la pancreatitis aguda, se incluyen los sistemas de valoración y predicción de su severidad, y se hace una revisión imparcial del tratamiento médico y quirúrgico.


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