PANCREATITIS AGUDA 2.ppt

7/23/2019 PANCREATITIS AGUDA 2.ppt

http://slidepdf.com/reader/full/pancreatitis-aguda-2ppt 1/44

Click to edit Master subtitle style

PANCREATITIS AGUDA

Ana Belen Gutierrez Rodriuez



DE!INICI"N

#a $ancreatitis auda es una en%er&edadin'a&atoria auda de el $ancreas( la cual$uede oriinar una res$uesta in'a&atoria

siste&ica con sini)cati*a &orbilidad y&ortalidad+

,ENNI!ER -( BRIAN .ERRIC-( TERESA GIPS"N+ Acute Pancreatitis/ Dianosis( Pronosis( and Treat&ent+ American FVolume 75, Number 10 ( May 15, 2007



EPIDEMIOLOGÍA

Incidencia:USA/ 012 $or &ill3n 4ab+

U-/ 056 a 786 $or &ill3n 4abit+

Raza: Nera/ Blanca 9 2/0Sexo: M:!

M : Alco4ol ! : BiliarPrevalencia/ Biliar/ 56;

Alco4ol/ 26; ,ENNI!ER -( BRIAN .ERRIC-( TERESA GIPS"N+ Acute Pancreatitis/ Dianosis( Pronosis( and Treat&ent+ American F

Volume 75, Number 10 ( May 15, 2007



!ISI"PAT"#"GIA

,ENNI!ER -( BRIAN .ERRIC-( TERESA GIPS"N+ Acute Pancreatitis/ Dianosis( Pronosis( and Treat&ent+ America



!ISI"PAT"#"GIA

,ore I*=n #izarazo Rodr>uez+ Fisiopatologa de la pancreatitis ag!da" Re* Col Gastroenterol < 8



ETI"#"GIA

Dulce M CruzSanta&ar>a( Carlos Taonera( Manuel Giner+ #pdate on pat$ogenesis and cl

%anage%ent o& ac!te pancreatitis" World J as!roin!es! Pa!ho"hysiol 8608 ,une 05 2?2@



#ITIASIS BI#IAR

Dulce M CruzSanta&ar>a( Carlos Taonera( Manuel Giner+ #pdate on pat$ogenesis and clin

%anage%ent o& ac!te pancreatitis" World J as!roin!es! Pa!ho"hysiol 8608 ,une 05 2?2@/



PANCREATITIS A#C"."#ICA

Pari&al C4oFd4ury( Priya Gu$ta+ Pat$op$'siolog' o& alco$olic pancreatitis: An overvie("as!roen!erol 866 Dece&ber 07 08?7@/ 78078



DIAGN"STIC"

)* Dolor a+do%inal caracterstico

,* Elevaci-n de a%ilasa o lipasa . /01 veces s! valor"

A&ilasa declina al 2 d>a+

Se reco&ienda $re%erir li$asa cuando est= dis$onible $ara D+

/* I%2genes: 3A45RM65 E4O"

Al%redo ! Tonsi( Matilde Bacc4ion( Ste%ano Cri$$a( Giuse$$e Malleo( Claudio Bassi+ Ac!te pancreat

+eginning o& t$e ,)st cent!r': 3$e state o& t$e art" World J as!roen!erol 866H ,une 81 05?8



Click to edit Master subtitle style



4RI3ERIOS DE SE7ERIDAD E6PA64REA3I3IS AG#DA



CRITERI"S DE RANS"N

Ranson JHC. Ethiological and prognostic factors in human acute pancreatitis: a review. Am J Gastroenterol

198! "": #$$%#$8



Dulce M CruzSanta&ar>a( Carlos Taonera( Manuel Giner+ #pdate on pat$ogenesis and clinical %anage%ent o& ac!te panas!roin!es! Pa!ho"hysiol 8608 ,une 05 2?2@/ 66



PANCREATITIS AGUDA BA#TAARA



PA64REA3I3IS AG#DA 8AL3A9AR8

PA64REA3I3IS AG#DA



PA64REA3I3IS AG#DA8AL3A9AR 4

PA64REA3I3IS AG#DA 8AL3A9AR



PA64REA3I3IS AG#DA 8AL3A9ARD

PA64REA3I3IS AG#DA 8AL3A9AR



PA64REA3I3IS AG#DA 8AL3A9ARE



,ENNI!ER -( BRIAN .ERRIC-( TERESA GIPS"N+ Acute Pancreatitis/ Dianosis( Pronosis( and Treat&ent+ American FVolume 75, Number 10 ( May 15, 2007



,ENNI!ER -( BRIAN .ERRIC-( TERESA GIPS"N+ Acute Pancreatitis/ Dianosis( Pronosis( and Treat&ent+ American FVolume 75, Number 10 ( Ma 15, 2007



#SO DE ME3O4LOPRAMIDA E63RA3AMIE63O DE PA64REA3I3IS

AG#DAEl 3RA3AMIE63O E6 4ASO DE 6A#SEAS O 7OMI3OS ES

ADMI6IS3RAR ) MG DE ME3O4LOPRAMIDA 4ADA ;<ORAS" E6 4ASO DE 6O 4EDER O E=IS3IR ILEO

PARALI3I4O5 SE DE8E 4OLO4AR #6A SO6DA6ASOGAS3RI4A

Masa4iko .irota( Tada4iro Takada( Jos4i%u&i -aFarada( -oic4i .irata( Tos4i4iko Mayu&i( Masa4iro Jos4ida( Mi4o Seki&oto( Jasutos4i -i&ura(-azunori Takeda( S4uKi IsaKi( Masaru -oizu&i( Makoto "tsuki( Seiki Matsuno++ ,PN Guidelines %or t4e &anae&ent o% acute $ancreatitis/ se*eritassess&ent o% acute $ancreatitis+ , .e$atobiliary Pancreat Sur ?866@ 02/22L70



4LASIFI4A4IO6ES RE7ISADA DE A3LA63A PARALAS 4OLE44IO6ES DE FL#IDOS E6 PA64REA3I3IS

AG#DAE63IDAD 3IPO

PA64REA3I3IS

3IEMPO DE

E7OL#4IO6

PRESE64IA DE

MA3ERIALSOLIDO

PARED

E64APS#LA

C"#ECCI"NAGUDA DE!#UID"

INTERSTICIA# 7 SEMANAS N" N"

NECR"SISPANCREATICAAGUDA

NECR"TICA : 7 SEMANAS SI N"

PSEUD"UISTE INTERSTICIA# : 7 SEMANAS N" SI

NECR"SISPANCREATICA"RGANIADA

NECR"TICA : 7 SEMANAS SI SI

Gardner TB. Endoscopic management of necrotizing pancreatitis. Gastrointest Endosc.

2012;76(6):12142!.

PANCREATITIS AGUDA 2.ppt

Documents

Transcript of PANCREATITIS AGUDA 2.ppt