[Diagnosis and therapy of acute pancreatitis (author's transl)].
In the course of acute pancreatitis an edematous and a hemorrhagic necrotizing pattern have to be discerned. Clinical symptoms are upper abdominal pain, shock, and metabolic derangements. Only subtle diagnostic procedures are appropriate as for instance x-ray of the chest and x-ray of the abdomen. Laboratory exams are of little value. For conservative treatment atropin, glucagon, calcitonin and antibiotics are being used nowadays, where as the efficacy of aprotinin is controversial. In the Department of Surgery of the Freiburg University Medical School an attempt at early surgery is made. In edematous pancreatitis the bursa omentalis is drained; in addition a T-drain has to be entered into the ductus choledochus. Seqmental necrosis of the pancreas may require resection of the left part of the pancreas. Necrotic areas of the head of the pancreas have to be removed by ablation. If there is total necrosis only drainage with an irrigation-suction pattern is possible.
D000208:Acute Disease; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001064:Appendicitis; D007611:Aprotinin / Q000627:therapeutic use; D001285:Atropine / Q000627:therapeutic use; D002116:Calcitonin / Q000627:therapeutic use; D002764:Cholecystitis / Q000175:diagnosis; D003327:Coronary Disease / Q000175:diagnosis; D003937:Diagnosis, Differential; D004322:Drainage; D004487:Edema / Q000209:etiology; D005934:Glucagon / Q000627:therapeutic use; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D008638:Mesenteric Arteries; D010179:Pancreas / Q000601:surgery; D010195:Pancreatitis / Q000175:diagnosis* / Q000628:therapy; D010439:Peptic Ulcer Perforation / Q000175:diagnosis; D011860:Radiography, Abdominal; D013902:Radiography, Thoracic; D013923:Thromboembolism / Q000175:diagnosis
D000900:Anti-Bacterial Agents; D001285:Atropine; D002116:Calcitonin; D005934:Glucagon; D007611:Aprotinin
Diagnostik und Therapie der akuten Pankreatitis.