Resultados do tratamento da pancreatite aguda grave

Apodaca-Torrez, Franz Robert; Lobo, Edson José; Monteiro, Lilah Maria Carvas; Melo, Geraldine Ragot de; Goldenberg, Alberto; Filho, Benedito Herani; Triviño, Tarcísio; Filho, Gaspar de Jesus Lopes

doi:10.1590/s0100-69912012000500008

Cited by 5 publications

(5 citation statements)

References 24 publications

(21 reference statements)

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“…It has sensitivity of 76% and specificity of 61.5% to assess the PA severity PA 28 . Atlanta classification considers the diagnosis of severe PA when, by Apache classification, are assigned eight or more points 1 . It has the advantages of being able to be calculated within the first 24 h after patient's admission to hospital and can be performed daily in the evaluation of patient outcomes.…”

Section: Resultsmentioning

confidence: 99%

“…However, approximately 10-20% of the cases, the clinical course is more intense and with extensive systemic effects, leading to up 40% mortality. The correct diagnosis, established early and determining its severity factors, are of fundamental importance to the proper therapeutic management 1 .…”

Section: Introductionmentioning

confidence: 99%

“…After the Atlanta Symposium (1992), came to be accepted two clinical presentations of well-defined acute pancreatitis: interstitial form ("light" or "edematous") and severe, also known as necro-hemorrhagic or "necrotizing" which usually implies some degree of pancreatic necrosis, peripancreatic, or both, and with more complications, such as infection of necrosis, peripancreatic fluid collections, abscesses, pseudocysts and even the failure of multiple organs 1 .…”

Section: Introductionmentioning

confidence: 99%

“…Severe acute pancreatitis (PAG) is characterized by having three or more Ranson criteria score, eight or more points in the Apache II (Acute Physiology and Chronic Health Evaluation II), pancreatic complications or the presence of organic bankruptcy 1 .…”

Section: Introductionmentioning

confidence: 99%

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Acute Pancreatitis Gravity Predictive Factors: Which and When to Use Them?

Ferreira

Bartelega

Urbano

et al. 2015

ABCD, arq. bras. cir. dig.

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Introduction: Acute pancreatitis has as its main causes lithiasic biliary disease and alcohol abuse. Most of the time, the disease shows a self-limiting course, with a rapid recovery, only with supportive treatment. However, in a significant percentage of cases, it runs with important local and systemic complications associated with high mortality rates. Aim: To present the current state of the use of these prognostic factors (predictive scores) of gravity, as the time of application, complexity and specificity. Method: A non-systematic literature review through 28 papers, with emphasis on 13 articles published in indexed journals between 2008 and 2013 using Lilacs, Medline, Pubmed. Results: Several clinical, laboratory analysis, molecular and image variables can predict the development of severe acute pancreatitis. Some of them by themselves can be determinant to the progression of the disease to a more severe form, such as obesity, hematocrit, age and smoking. Hematocrit with a value lower than 44% and serum urea lower than 20 mg/dl, both at admission, appear as risk factors for pancreatic necrosis. But the PCR differentiates mild cases of serious ones in the first 24 h. Multifactorial scores measured on admission and during the first 48 h of hospitalization have been used in intensive care units, being the most ones used: Ranson, Apache II, Glasgow, Iget and Saps II. Conclusion: Acute pancreatitis is a disease in which several prognostic factors are employed being useful in predicting mortality and on the development of the severe form. It is suggested that the association of a multifactorial score, especially the Saps II associated with Iget, may increase the prognosis accuracy. However, the professional's preferences, the experience on the service as well as the available tools, are factors that have determined the choice of the most suitable predictive score.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Acute Pancreatitis Gravity Predictive Factors: Which and When to Use Them?

Ferreira

Bartelega

Urbano

et al. 2015

ABCD, arq. bras. cir. dig.

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“…En la publicación de Aevedo et al se observó predominio de la pancreatitis aguda de etiologíalitiasica en un 70% (3,15) . Una publicación de Servínet al registro también predominio de la etiología biliar en 63,5% de los pacientes (7,16) . En su publicación, Lujanoet al constataronpredominio en un 53,6% de la etiología alitiasica (12) .…”

Section: Discussionunclassified

Characterization Epidemiological, Clinical and Surgical Patients With Acute Pancreatitis

Varela¹,

Falcon²,

Centurión³

et al. 2015

Rev. Cir. Parag

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RESUMENAntecedentes: La pancreatitis aguda constituye una enfermedad con repercusión local y sistémica. Actualmente, fue adoptándose por muchos países, la clasificación de pancreatitis establecida por Petrov y Windsor, basa en el compromiso local y sistémico de la enfermedad. Objetivos: Establecer la clasificación de pancreatitis según Petrov y Windsor, determinar las causas, registrar datos epidemiológicos, establecer el tratamiento, las complicaciones y mortalidad asociadas. Materiales y métodos: pacientes adultos con diagnóstico de pancreatitis aguda que ingresaron al Servicio de Cirugía General desde enero a diciembre de 2014, analizados de manera retrospectiva en un análisis descriptivo de corte transverso. Resultados: Fueron ingresados 271 pacientes con pancreatitis aguda, 75,27% correspondió a la forma leve, 56,37% al sexo femenino, con un promedio de edad de 48,9 y la etiología fue litiasica en 86,27%. Fue realizada colecistectomía en 77,27% de los pacientes sin complicaciones con mortalidad nula. La forma moderada se registró en 9,59%, grave en 11,07% y crítica en 4,05% con elevada mortalidad en esta última. Conclusiones: Se registró un predominio de pacientes adultos jóvenes con diagnóstico de pancreatitis aguda leve de etiología litiasica operados en su mayoría durante la internación con resultados satisfactorios. Los cuadros graves fueron de resorte quirúrgicos con elevados índi-ces de morbimortalidad.

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