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G Chir ; 34(9-10): 284-7, 2013.
Artigo em Inglês | MEDLINE | ID: mdl-24629818

RESUMO

Severe acute pancreatitis (SAP) management has changed over the last fifteen years, and from too aggressive behaviour, we moved to a cautious one. In every case, we can appreciate defect of extremist conceptual position. We reviewed our strategy on disease treatment, and we analyzed treatment of single cases. We collected 4 SAP cases from January 2009 to January 2010. All patients were septic, and we adopted the same approach for all of them, avoiding surgery without peritoneal infection. In all patients we placed jejumostomy and, after cleaning of septic site, we started immediate enteral nutrition (EN). Antibiotic therapy against Gram+, Gram- and antifugal drug had been started. No one died and all patients were back to an active life even if social costs are considerably high especially due to very long hospital stay.


Assuntos
Pancreatite Necrosante Aguda/terapia , Adulto , Idoso de 80 Anos ou mais , Antibacterianos/uso terapêutico , Efeitos Psicossociais da Doença , Drenagem , Endoscopia Gastrointestinal , Nutrição Enteral , Seguimentos , Humanos , Itália , Jejunostomia , Tempo de Internação/economia , Masculino , Pessoa de Meia-Idade , Monitorização Fisiológica , Pancreatite Necrosante Aguda/diagnóstico , Pancreatite Necrosante Aguda/economia , Pancreatite Necrosante Aguda/cirurgia , Índice de Gravidade de Doença , Resultado do Tratamento
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