Pancreatitis aguda: de la evidencia al caso real / Acute Pancreatitis: from the evidence to the reality

RESUMO

Pancreatitis is classified as acute or chronic.Usually, acute pancreatitis is a consequence of gallstones or is idiopathic...Since the early 20th century, Moynihan described the acute pancreatitis as the most terrible intraabdominal calamity, and subsequently emphasized the prevalent role of surgical tyreatment to remove the toxins accumulated in the abdominal cavity. Likewise this treatment modality was adapted by most surgeons and it was maintained during 20 years as the key to optimal management...A opatient with acute pancreatitis was studied along, the evidence available was revised and also its real applicability since the retrospective analysis of the case, in a pathogenesis with several diagnostic and therapeutic guidelines determined by their usefulness but not because of evidence and viceversa enhanced by this one but with a difficult application