BackgroundAcute pancreatitis is an inflammatory disease of the pancreas due to enzymatic
autodigestion which can cause necrosis or multiple organ failure; its
pathophysiology is not fully known yet.AimTo evaluate the correlation between clinical and therapeutic data in patients with
mild acute pancreatitis.MethodsA retrospective study in 55 medical records of patients admitted with acute mild
pancreatitis was realized to analyze the association between age, leukocytosis,
serum glutamic-oxaloacetic transaminase and lactate dehydrogenase, glucose,
antibiotics, time admission and Ranson´s scores.ResultsThere was a positive association between less intensive care (strict hydration,
analgesia and monitoring of vital signs), early antibiotic therapy (monotherapy),
early return to diet after 48 hours and laboratory control of the serum amylase
and lipase (high in the first week and decreasing after 10 days, without any
prognostic value).ConclusionsChanges in the management of patients with mild acute pancreatitis, such as
enteral nutrition, rational use of lower spectrum antibiotics and intensive care,
have contributed significantly to the reduction of hospitalization time and
mortality.
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