Assessment and treatment of acute pancreatitis. Position document of the Catalan Society of Gastroenterology, Catalan Society of Surgery and Catalan Society of the Pancreas
The incidence of acute pancreatitis (AP) is increasing. AP is one of the gastrointestinal diseases that most frequently requires hospital admission in affected individuals. In the last few years, considerable scientific evidence has led to substantial changes in the medical and surgical treatment of...
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Veröffentlicht in: | Gastroenterología y hepatología 2015-02, Vol.38 (2), p.82-96 |
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creator | Boadas, Jaume Balsells, Joaquin Busquets, Juli Codina-B, Antoni Darnell, Anna Garcia-Borobia, Francisco Ginés, Àngels Gornals, Joan Gruartmoner, Guillem Ilzarbe, Lucas Merino, Xavier Oms, Lluís Puig, Ignasi Puig-Diví, Valentí Vaquero, Eva Vida, Francesc Molero, Xavier |
description | The incidence of acute pancreatitis (AP) is increasing. AP is one of the gastrointestinal diseases that most frequently requires hospital admission in affected individuals. In the last few years, considerable scientific evidence has led to substantial changes in the medical and surgical treatment of this disease. New knowledge of the physiopathology of AP indicates that its severity is influenced by its systemic effects (organ failure), especially if the disease is persistent, and also by local complications (fluid collections or necrosis), especially if these become infected. Treatment should be personalized and depends on the patient's clinical status, the location of the necrosis, and disease stage. |
doi_str_mv | 10.1016/j.gastrohep.2014.09.006 |
format | Article |
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AP is one of the gastrointestinal diseases that most frequently requires hospital admission in affected individuals. In the last few years, considerable scientific evidence has led to substantial changes in the medical and surgical treatment of this disease. New knowledge of the physiopathology of AP indicates that its severity is influenced by its systemic effects (organ failure), especially if the disease is persistent, and also by local complications (fluid collections or necrosis), especially if these become infected. Treatment should be personalized and depends on the patient's clinical status, the location of the necrosis, and disease stage.</description><identifier>ISSN: 0210-5705</identifier><identifier>DOI: 10.1016/j.gastrohep.2014.09.006</identifier><identifier>PMID: 25458544</identifier><language>spa</language><publisher>Spain</publisher><subject>Acute Disease ; Analgesia - methods ; Cholangiopancreatography, Endoscopic Retrograde ; Cholelithiasis - complications ; Disease Management ; Drainage ; Exocrine Pancreatic Insufficiency - etiology ; Humans ; Intra-Abdominal Hypertension - etiology ; Intra-Abdominal Hypertension - prevention & control ; Multiple Organ Failure - etiology ; Necrosis ; Nutritional Support ; Pancreatic Pseudocyst - etiology ; Pancreatitis - complications ; Pancreatitis - diagnostic imaging ; Pancreatitis - physiopathology ; Pancreatitis - therapy ; Prognosis ; Risk Factors ; Thrombophilia - drug therapy ; Thrombophilia - etiology</subject><ispartof>Gastroenterología y hepatología, 2015-02, Vol.38 (2), p.82-96</ispartof><rights>Copyright © 2014 Elsevier España, S.L.U. and AEEH y AEG. 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Treatment should be personalized and depends on the patient's clinical status, the location of the necrosis, and disease stage.</description><subject>Acute Disease</subject><subject>Analgesia - methods</subject><subject>Cholangiopancreatography, Endoscopic Retrograde</subject><subject>Cholelithiasis - complications</subject><subject>Disease Management</subject><subject>Drainage</subject><subject>Exocrine Pancreatic Insufficiency - etiology</subject><subject>Humans</subject><subject>Intra-Abdominal Hypertension - etiology</subject><subject>Intra-Abdominal Hypertension - prevention & control</subject><subject>Multiple Organ Failure - etiology</subject><subject>Necrosis</subject><subject>Nutritional Support</subject><subject>Pancreatic Pseudocyst - etiology</subject><subject>Pancreatitis - complications</subject><subject>Pancreatitis - diagnostic imaging</subject><subject>Pancreatitis - physiopathology</subject><subject>Pancreatitis - therapy</subject><subject>Prognosis</subject><subject>Risk Factors</subject><subject>Thrombophilia - drug therapy</subject><subject>Thrombophilia - etiology</subject><issn>0210-5705</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkMtOwzAQRb0A0VL4BfCSBQl-xHksqwoKUiUqFdaR7UzaVEkcbGeRf-IjSV87VjNz5-jO1SD0SElICY1f9uFWOm_NDrqQERqFJAsJia_QlDBKApEQMUG3zu0JYYKz7AZNmIhEKqJoin7nzoFzDbQey7bA3oL0x8mUWOreA-5kqw9q5SsX4rVxY2NaXBjdX0C_A7yQXtayxRujK_DDQV4ec40MWFOb7fD8H7Tp7RbscLz-z_pgvT4lcHfoupS1g_tznaHvt9evxXuw-lx-LOaroKMR9UEGUpeUplJDwWIds1LFNEkVyxQRkVYiSaVQijGWEsZpwjVwUBnQmPCUcsln6Onk21nz04PzeVM5DfUYDUzvchoLFkUJG_kZejijvWqgyDtbNdIO-eXD_A9d7oIt</recordid><startdate>201502</startdate><enddate>201502</enddate><creator>Boadas, Jaume</creator><creator>Balsells, Joaquin</creator><creator>Busquets, Juli</creator><creator>Codina-B, Antoni</creator><creator>Darnell, Anna</creator><creator>Garcia-Borobia, Francisco</creator><creator>Ginés, Àngels</creator><creator>Gornals, Joan</creator><creator>Gruartmoner, Guillem</creator><creator>Ilzarbe, Lucas</creator><creator>Merino, Xavier</creator><creator>Oms, Lluís</creator><creator>Puig, Ignasi</creator><creator>Puig-Diví, Valentí</creator><creator>Vaquero, Eva</creator><creator>Vida, Francesc</creator><creator>Molero, Xavier</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201502</creationdate><title>Assessment and treatment of acute pancreatitis. Position document of the Catalan Society of Gastroenterology, Catalan Society of Surgery and Catalan Society of the Pancreas</title><author>Boadas, Jaume ; Balsells, Joaquin ; Busquets, Juli ; Codina-B, Antoni ; Darnell, Anna ; Garcia-Borobia, Francisco ; Ginés, Àngels ; Gornals, Joan ; Gruartmoner, Guillem ; Ilzarbe, Lucas ; Merino, Xavier ; Oms, Lluís ; Puig, Ignasi ; Puig-Diví, Valentí ; Vaquero, Eva ; Vida, Francesc ; Molero, Xavier</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p141t-9eacf118aced26c62fb6178b29b054cb578a5bb2228023173ce3eb9e1603813a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>spa</language><creationdate>2015</creationdate><topic>Acute Disease</topic><topic>Analgesia - methods</topic><topic>Cholangiopancreatography, Endoscopic Retrograde</topic><topic>Cholelithiasis - complications</topic><topic>Disease Management</topic><topic>Drainage</topic><topic>Exocrine Pancreatic Insufficiency - etiology</topic><topic>Humans</topic><topic>Intra-Abdominal Hypertension - etiology</topic><topic>Intra-Abdominal Hypertension - prevention & control</topic><topic>Multiple Organ Failure - etiology</topic><topic>Necrosis</topic><topic>Nutritional Support</topic><topic>Pancreatic Pseudocyst - etiology</topic><topic>Pancreatitis - complications</topic><topic>Pancreatitis - diagnostic imaging</topic><topic>Pancreatitis - physiopathology</topic><topic>Pancreatitis - therapy</topic><topic>Prognosis</topic><topic>Risk Factors</topic><topic>Thrombophilia - drug therapy</topic><topic>Thrombophilia - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Boadas, Jaume</creatorcontrib><creatorcontrib>Balsells, Joaquin</creatorcontrib><creatorcontrib>Busquets, Juli</creatorcontrib><creatorcontrib>Codina-B, Antoni</creatorcontrib><creatorcontrib>Darnell, Anna</creatorcontrib><creatorcontrib>Garcia-Borobia, Francisco</creatorcontrib><creatorcontrib>Ginés, Àngels</creatorcontrib><creatorcontrib>Gornals, Joan</creatorcontrib><creatorcontrib>Gruartmoner, Guillem</creatorcontrib><creatorcontrib>Ilzarbe, Lucas</creatorcontrib><creatorcontrib>Merino, Xavier</creatorcontrib><creatorcontrib>Oms, Lluís</creatorcontrib><creatorcontrib>Puig, Ignasi</creatorcontrib><creatorcontrib>Puig-Diví, Valentí</creatorcontrib><creatorcontrib>Vaquero, Eva</creatorcontrib><creatorcontrib>Vida, Francesc</creatorcontrib><creatorcontrib>Molero, Xavier</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Gastroenterología y hepatología</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Boadas, Jaume</au><au>Balsells, Joaquin</au><au>Busquets, Juli</au><au>Codina-B, Antoni</au><au>Darnell, Anna</au><au>Garcia-Borobia, Francisco</au><au>Ginés, Àngels</au><au>Gornals, Joan</au><au>Gruartmoner, Guillem</au><au>Ilzarbe, Lucas</au><au>Merino, Xavier</au><au>Oms, Lluís</au><au>Puig, Ignasi</au><au>Puig-Diví, Valentí</au><au>Vaquero, Eva</au><au>Vida, Francesc</au><au>Molero, Xavier</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment and treatment of acute pancreatitis. 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subjects | Acute Disease Analgesia - methods Cholangiopancreatography, Endoscopic Retrograde Cholelithiasis - complications Disease Management Drainage Exocrine Pancreatic Insufficiency - etiology Humans Intra-Abdominal Hypertension - etiology Intra-Abdominal Hypertension - prevention & control Multiple Organ Failure - etiology Necrosis Nutritional Support Pancreatic Pseudocyst - etiology Pancreatitis - complications Pancreatitis - diagnostic imaging Pancreatitis - physiopathology Pancreatitis - therapy Prognosis Risk Factors Thrombophilia - drug therapy Thrombophilia - etiology |
title | Assessment and treatment of acute pancreatitis. Position document of the Catalan Society of Gastroenterology, Catalan Society of Surgery and Catalan Society of the Pancreas |
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