2014, Number 3
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Med Int Mex 2014; 30 (3)
Abdominal Compartment Syndrome in Acute Pancreatitis
Cortázar-Benítez LF, Aisa-Álvarez A, Galindo-Campos M, Carrillo-Ocampo L, Rodríguez-Weber FL, Díaz-Greene EJ
Language: Spanish
References: 43
Page: 285-294
PDF size: 446.72 Kb.
ABSTRACT
Acute pancreatitis is a frequent disease; it has a reported incidence of 5-80
cases per 100,000 adult patients per year according to different geographic
regions and published series; 10-20% of these cases develop severe acute
pancreatitis and among these, approximately 30% die from diverse
complications, most notably, multiple organic dysfunction. In the last 15
years, with the publication of therapeutic guidelines, the prognostic and
survival of the patients with acute pancreatitis has improved with several
therapeutic interventions, probably the best known is the intensive initial
hydration; however, there have been coincidentally more reported cases
of abdominal compartment syndrome, and there is increasing evidence in
the literature of the effects of overhydration on the apparition of this syndrome.
Also, there are many efforts for finding new diagnostic techniques
for abdominal compartment syndrome with new methods for measurement
of intraabdominal pressure. Once the abdominal compartment syndrome
with organic dysfunction has established, patients must be treated promptly.
Even when there are various decompression procedures described, the
decompressive laparotomy continues being the procedure of choice.
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