Boadas Jaume, Balsells Joaquin, Busquets Juli, Codina-B Antoni, Darnell Anna, Garcia-Borobia Francisco, Ginés Àngels, Gornals Joan, Gruartmoner Guillem, Ilzarbe Lucas, Merino Xavier, Oms Lluís, Puig Ignasi, Puig-Diví Valentí, Vaquero Eva, Vida Francesc, Molero Xavier
Servicio de Digestivo, Consorci Sanitari Terrassa, Terrassa, España.
Servicio de Cirugía, Hospital Universitari Vall d'Hebrón, Barcelona, España.
Gastroenterol Hepatol. 2015 Feb;38(2):82-96. doi: 10.1016/j.gastrohep.2014.09.006. Epub 2014 Nov 6.
The incidence of acute pancreatitis (AP) is increasing. AP is one of the gastrointestinal diseases that most frequently requires hospital admission in affected individuals. In the last few years, considerable scientific evidence has led to substantial changes in the medical and surgical treatment of this disease. New knowledge of the physiopathology of AP indicates that its severity is influenced by its systemic effects (organ failure), especially if the disease is persistent, and also by local complications (fluid collections or necrosis), especially if these become infected. Treatment should be personalized and depends on the patient's clinical status, the location of the necrosis, and disease stage.
急性胰腺炎(AP)的发病率正在上升。AP是受影响个体中最常需要住院治疗的胃肠道疾病之一。在过去几年中,大量科学证据已导致该疾病的医学和外科治疗发生了重大变化。AP生理病理学的新知识表明,其严重程度受全身影响(器官衰竭)的影响,尤其是在疾病持续存在时,也受局部并发症(液体积聚或坏死)的影响,尤其是在这些并发症发生感染时。治疗应个性化,取决于患者的临床状况、坏死部位和疾病阶段。