The diagnosis and management of acute pancreatitis |
| |
| Authors: | THOMPSON J A DERRICK J R |
| |
| Affiliation: | 1. Psychiatry Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy;2. Department of Internal Medicine, Dermatology and Psychiatry, School of Medicine, University of La Laguna, Canary Islands, Spain;3. Instituto Universitario de Neurociencia (IUNE), Universidad de La Laguna, San Cristóbal de La Laguna, Spain;4. Department of Physical Medicine and Pharmacology, School of Medicine, Universidad de La Laguna, Canary Islands, Spain;5. Hospital Universitario de Canarias, Tenerife, Spain;6. Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of Zürich, Zürich, Switzerland;7. Department of Psychiatry Research, Zucker Hillside Hospital, Northwell Health, Glen Oaks, New York, USA;8. Department of Psychiatry and Molecular Medicine, The Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, New York, NY, USA;9. Department of Child and Adolescent Psychiatry, Charité Universitätsmedizin, Berlin, Germany;10. Mental Health Research Center at Eastern State Hospital, Lexington, KY, USA;11. Biomedical Research Centre in Mental Health Net (CIBERSAM), Santiago Apostol Hospital, University of the Basque Country, Vitoria, Spain;1. Cardiology Department, Ankara Numune Education and Research Hospital, Ankara, Turkey;2. Biochemistry Department, Ankara Ataturk Education and Research Hospital, Ankara, Turkey. |
| |
| Abstract: | ![]()
Pancreatitis is being recognized as a cause of abdominal pain with increasing frequency. The diagnosis is most often made or confirmed by the presence of an elevation of the serum amylase concentration. A high index of suspicion induced by a careful history and physical examination should lead to the even more frequent recognition.The acute episode is best treated by conservative measures based on physiologic concepts of restoration of blood volume and diminution of the pancreatic secretion. After recovery, biliary tract disease should be corrected; most of the patients will be relieved of symptoms.The removal of a normal gallbladder or other surgery on the biliary tract in the absence of intrinsic disease has not favorably influenced the rate of recurrent attacks.The incidence of recurrent pancreatitis is remarkably high in the lower income group, presumably on the basis of the high incidence of alcoholism. If conservative therapy fails in the alcoholic patient, and it frequently does, the careful selection of the operative procedure must be based on complications already manifested in the individual patient. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect PubMed 等数据库收录！ |
|
