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Manejo de la pancreatitis aguda. Autor: Santhi Swaroop Vege, MD Editor de sección: David C Whitcomb, MD, PhD Subdirector: Shilpa Grover, MD, MPH, AGAF

INTRODUCCIÓN La pancreatitis aguda es un proceso inflamatorio agudo del páncreas. La mortalidad varía del 3 por ciento en pacientes con pancreatitis edematosa intersticial al 17 por ciento en pacientes que desarrollan necrosis pancreática [ 1,2 ]. Este tema revisa el manejo de la pancreatitis aguda. Nuestras recomendaciones son en gran medida consistentes con las pautas de la Asociación Estadounidense de Gastroenterología, el Colegio Americano de Gastroenterología y la Asociación Internacional de Pancreatología / Asociación Estadounidense de Páncreas para el tratamiento de la pancreatitis aguda [ 3 - 6 ]. La etiología, las manifestaciones clínicas, el diagnóstico y la evaluación de la gravedad de la pancreatitis aguda se analizan por separado. (Ver "Etiología de la pancreatitis aguda" y "Manifestaciones clínicas y diagnóstico de pancreatitis aguda" y "Predecir la gravedad de la pancreatitis aguda" .)

CLASIFICACIÓN Según la clasificación de Atlanta, la pancreatitis aguda se puede dividir en dos grandes categorías [ 7 ]: ● ●Pancreatitis

aguda edematosa intersticial, que se caracteriza por inflamación aguda del parénquima

pancreático y los tejidos peripancreáticos, pero sin necrosis tisular reconocible. ● ●Pancreatitis

aguda necrotizante, que se caracteriza por inflamación asociada con necrosis del parénquima

pancreático y / o necrosis peripancreática.

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Consultorios médicos Paciente o Cuidador

Revisión de literatura actualizada hasta  mayo de 2020. | Última actualización de este tema:  09 de marzo de 2020.

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