[Severe acute pancreatitis: prognosis and treatment implications].
Severe acute pancreatitis (SAP) is a very important cause of morbi-mortality inside the context of gastrointestinal diseases, and there is still some controversy in important points regarding its medical and surgical management. The present review article assesses and compares the results and conclusions of several clinical trials with respect the staging of severity, supportive measurements, prophylactic antibiotics, surgical treatment of infected and sterile necrosis and the implications that such studies have in the prognosis and management of SAP. Endoscopic techniques of treatment are beyond the scope in this review.
Anaya-Ayala
J E
JE
Massachusetts General Hospital, Boston, Massachusetts, USA. javieranayala@hotmail.com
Porres-Aguilar
M
M
Mora-Loya
C A
CA
Porres-Muñoz
M
M
D000208:Acute Disease; D006801:Humans; D010195:Pancreatitis / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy; D011379:Prognosis; D012720:Severity of Illness Index