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Peripankreatische Flüssigkeitsansammlungen: Wann ist eine interventionelle Therapie indiziert?

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Zusammenfassung

Peripankreatische Flüssigkeitsansammlungen sind eine häufige Komplikation der akuten Pankreatitis, dennoch stellen sie selten eine Indikation für eine Therapie da. Die Revision der Atlanta-Klassifikation von 1992 im Jahr 2013 versucht, durch eine einfache Klassifikation die Indikationsstellung zur Therapie zu erleichtern. Das nachfolgende Kapitel soll dies erläutern.

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Literatur

  • Arvanitakis M, Delhaye M, De Maertelaere V et al (2004) Computed tomography and magnetic resonance imaging in the assessment of acute pancreatitis. Gastroenterology 126(3): 715–723

    Article  PubMed  Google Scholar 

  • van Baal MC, van Santvoort HC, Bollen TL, Bakker OJ, Besselink MG, Gooszen HG (2011) Systematic review of percutaneous catheter drainage as primary treatment for necrotizing pancreatitis. Br J Surg 98(1): 18–27

    Article  PubMed  CAS  Google Scholar 

  • Balthazar EJ, Freeny PC, van Sonnenberg E (1994) Imaging and intervention in acute pancreatitis. Radiology 193(2): 297–306

    PubMed  CAS  Google Scholar 

  • Balthazar EJ (2002a) Complications of acute pancreatitis: clinical and CT evaluation. Radiol Clin N Am 40(6): 1211–1227

    Article  Google Scholar 

  • Balthazar EJ (2002b) Staging of acute pancreatitis. Radiol Clin N Am 40(6): 1199–1209

    Article  Google Scholar 

  • Banks PA, Bollen TL, Dervenis C et al (2013) Classification of acute pancreatitis – 2012: revision of the Atlanta classification and definitions by international consensus. Gut 62(1): 102–111

    Article  PubMed  Google Scholar 

  • Banks PA, Freeman ML (2006) Practice guidelines in acute pancreatitis. Am J Gastroenterol 101(10): 2379–2400

    Article  PubMed  Google Scholar 

  • Baril NB, Ralls PW, Wren SM et al (2000) Does an infected peripancreatic fluid collection or abscess mandate operation? Ann Surg 231(3): 361–367

    Article  PubMed  CAS  Google Scholar 

  • Baron TH, Morgan DE (1997) The diagnosis and management of fluid collections associated with pancreatitis. Am J Med 102(6): 555–563

    Article  PubMed  CAS  Google Scholar 

  • Beger HG, Rau B, Mayer J, Pralle U (1997) Natural course of acute pancreatitis. World J Surg 21(2): 130–135

    Article  PubMed  CAS  Google Scholar 

  • Bollen TL, van Santvoort HC, Besselink MG et al (2008) The Atlanta Classification of acute pancreatitis revisited. Br J Surg 95(1): 6–21

    Article  PubMed  CAS  Google Scholar 

  • Bradley EL 3rd (1993) A clinically based classification system for acute pancreatitis. Summary of the International Symposium on Acute Pancreatitis, Atlanta, Ga, September 11 through 13, 1992. Arch Surg 128(5): 586–590

    Google Scholar 

  • Brun A, Agarwal N, Pitchumoni CS (2011) Fluid collections in and around the pancreas in acute pancreatitis. J Clin Gastroenterol 45(7): 614–625

    Article  PubMed  Google Scholar 

  • Hoffmeister A, Mayerle J, Beglinger C et al (2012a) [S3-Consensus guidelines on definition, etiology, diagnosis and medical, endoscopic and surgical management of chronic pancreatitis German Society of Digestive and Metabolic Diseases (DGVS)]. Z Gastroenterol 50(11): 1176–1224

    Article  CAS  Google Scholar 

  • Hoffmeister A, Mayerle J, Dathe K, Mossner J, Lerch MM (2012b) [Method report to the S3 guideline chronic pancreatitis: definition, etiology, diagnostics and conservative, interventional endoscopic and surgical therapy of the chronic pancreatitis]. Z Gastroenterol 50(11): 1225–1236

    Article  CAS  Google Scholar 

  • Kourtesis G, Wilson SE, Williams RA (1990) The clinical significance of fluid collections in acute pancreatitis. Am Surg 56(12): 796–799

    PubMed  CAS  Google Scholar 

  • Lankisch PG, Weber-Dany B, Maisonneuve P, Lowenfels AB (2012) Pancreatic pseudocysts: prognostic factors for their development and their spontaneous resolution in the setting of acute pancreatitis. Pancreatology 12(2): 85–90

    Article  PubMed  Google Scholar 

  • Lenhart DK, Balthazar EJ (2008) MDCT of acute mild (nonnecrotizing) pancreatitis: abdominal complications and fate of fluid collections. Am J Roentgenol 190(3): 643–649

    Article  Google Scholar 

  • Lerch MM, Stier A, Wahnschaffe U, Mayerle J (2009) Pancreatic pseudocysts: observation, endoscopic drainage, or resection? Deutsches Arzteblatt International 106(38): 614–621

    PubMed  Google Scholar 

  • Lerch MM (2013) Classifying an unpredictable disease: the revised Atlanta classification of acute pancreatitis. Gut 62(1): 2–3

    Article  PubMed  Google Scholar 

  • London NJ, Neoptolemos JP, Lavelle J, Bailey I, James D (1989) Serial computed tomography scanning in acute pancreatitis: a prospective study. Gut 30(3): 397–403

    Article  PubMed  CAS  Google Scholar 

  • Mier J, Leon EL, Castillo A, Robledo F, Blanco R (1997) Early versus late necrosectomy in severe necrotizing pancreatitis. Am J Surg 173(2): 71–75

    Article  PubMed  CAS  Google Scholar 

  • Nealon WH, Bhutani M, Riall TS, Raju G, Ozkan O, Neilan R (2009) A unifying concept: pancreatic ductal anatomy both predicts and determines the major complications resulting from pancreatitis. J Am Coll Surg 208(5): 790–799; discussion 799–801

    Article  PubMed  Google Scholar 

  • Neoptolemos JP, London NJ, Carr-Locke DL (1993) Assessment of main pancreatic duct integrity by endoscopic retrograde pancreatography in patients with acute pancreatitis. Br J Surg 80(1): 94–99

    Article  PubMed  CAS  Google Scholar 

  • Rünzi M, Niebel W, Goebell H, Gerken G, Layer P (2005) Severe acute pancreatitis: nonsurgical treatment of infected necroses. Pancreas 30(3): 195–199

    Article  PubMed  Google Scholar 

  • van Santvoort HC, Besselink MG, Bakker OJ et al (2010) A step-up approach or open necrosectomy for necrotizing pancreatitis. N Engl J Med 362(16): 1491–1502

    Article  PubMed  CAS  Google Scholar 

  • Shankar S, van Sonnenberg E, Silverman SG, Tuncali K, Banks PA (2004) Imaging and percutaneous management of acute complicated pancreatitis. Cardiovas Interv Radiol 27(6): 567–580

    Article  Google Scholar 

  • Sharma M, Banerjee D, Garg PK (2007) Characterization of newer subgroups of fulminant and subfulminant pancreatitis associated with a high early mortality. Am J Gastroenterol 102(12): 2688–2695

    Article  PubMed  Google Scholar 

  • van Sonnenberg E, Wittich GR, Chon KS et al (1997) Percutaneous radiologic drainage of pancreatic abscesses. Am J Roentgenol 168(4): 979–984

    Article  CAS  Google Scholar 

  • Telford JJ, Farrell JJ, Saltzman JR et al (2002) Pancreatic stent placement for duct disruption. Gastrointest Endosc 56(1): 18–24

    Article  PubMed  Google Scholar 

  • Trevino JM, Tamhane A, Varadarajulu S (2010) Successful stenting in ductal disruption favorably impacts treatment outcomes in patients undergoing transmural drainage of peripancreatic fluid collections. J Gastroenterol Hepatol 25(3): 526–531

    Article  PubMed  Google Scholar 

  • UK Guidelines for the management of acute pancreatitis (2005) Gut 54 (Suppl 3): iii1–9

    Google Scholar 

  • Yeo CJ, Bastidas JA, Lynch-Nyhan A, Fishman EK, Zinner MJ, Cameron JL (1990) The natural history of pancreatic pseudocysts documented by computed tomography. Surg Gynecol Obstet 170(5): 411–417

    PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Klinik für Innere Medizin A Universitätsmedizin Greifswald, Ernst-Moritz-Arndt-Universität, Ferdinand-Sauerbruch-Straße, 17475, Greifswald, Deutschland

    Julia Mayerle

  2. Universitätsmedizin Greifswald Klinik und Poliklinik für Innere Medizin A, Ferdinand-Sauerbruch-Straße, 17475, Greifswald, Deutschland

    Georg Beyer & Markus M. Lerch

Authors
  1. Julia Mayerle
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  2. Georg Beyer
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  3. Markus M. Lerch
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Corresponding author

Correspondence to Julia Mayerle .

Editor information

Editors and Affiliations

  1. Abt. Allgemeine- und Visceralchirurgie, Universitätsklinikum Ulm, Germany

    Hans G. Beger

  2. Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Universitätsklinikum Heidelberg, Germany

    Markus W. Büchler

  3. Allgemein-, Viszeral- und Gefäßchirurgie, Universitätsklinikum Halle, Sachsen-Anhalt, Germany

    Henning Dralle

  4. Klinik und Poliklinik für Innere Medizin, Universitätsmedizin Greifswald, Germany

    Markus M. Lerch

  5. und Hepatologie (KGHI), Universitätsklinikum Magdeburg, Germany

    Peter Malfertheiner

  6. FB Gastroenterologie und Hepatologie, Universitätsklinikum Leipzig, Sachsen, Germany

    Joachim Mössner

  7. ehemals Klinikum der Stadt Ludwigshafen gGmbH, Rheinland-Pfalz, Germany

    Jürgen F. Riemann

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Mayerle, J., Beyer, G., Lerch, M. (2013). Peripankreatische Flüssigkeitsansammlungen: Wann ist eine interventionelle Therapie indiziert?. In: Beger, H., et al. Erkrankungen des Pankreas. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-37964-2_10

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  • DOI: https://doi.org/10.1007/978-3-642-37964-2_10

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-37963-5

  • Online ISBN: 978-3-642-37964-2

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