Acute Pancreatitis

Chapter

Abstract

Acute pancreatitis is the most common gastrointestinal disease resulting in hospitalization in the United States, and appropriate critical care is crucial to survival in severe cases. Early adequate fluid resuscitation and nutritional support are cornerstones of initial management. Recognition and treatment of early complications such as abdominal compartment syndrome and later complications such as infected pancreatic necrosis and visceral artery pseudoaneurysm are crucial to survival in the severe cases that confront intensivists. Infected necrosis is the most common complication of severe pancreatitis and should typically be treated using a step-up approach that begins with percutaneous or endoscopic drainage and progresses when necessary to minimally invasive endoscopic or surgical necrosectomy.

Keywords

Pancreatitis Acute necrotizing Pancreatic fistula Pseudocyst SIRS Abdominal compartment syndrome Arterial pseudoaneurysm 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Division of Trauma/Acute Care SurgeryMassachusetts General Hospital, Harvard Medical SchoolBostonUSA
  2. 2.Division of Trauma, Acute Care SurgeryMedical College of Wisconsin, Froedtert HospitalMilaukeeUSA

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