Severe necrotic and septic pancreatitis. Indications to endoscopic, surgical, and nutritional therapy

Mangiante, G. and Rodella, L. and Cerofolini, A. and Giacopuzzi, S. and Passeri, V. and Sterzi, E. and Catalano, F. and Schenal, G. and De Manzoni, G. (2013) Severe necrotic and septic pancreatitis. Indications to endoscopic, surgical, and nutritional therapy. Il giornale di chirurgia, 34 (9/10). pp. 284-287. ISSN 1971-145X

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Abstract

Severe acute pancreatitis (SAP) management has changed over the last fifteen years, and from too aggressive behaviour, we moved to a cautious one. In every case, we can appreciate defect of extremist conceptual position. We reviewed our strategy on disease treatment, and we analyzed treatment of single cases. We collected 4 SAP cases from January 2009 to January 2010. All patients were septic, and we adopted the same approach for all of them, avoiding surgery without peritoneal infection. In all patients we placed jejumostomy and, after cleaning of septic site, we started immediate enteral nutrition (EN). Antibiotic therapy against Gram+, Gram– and antifugal drug had been started. No one died and all patients were back to an active life even if social costs are considerably high especially due to very long hospital stay.

Item Type:	Article
Uncontrolled Keywords:	Pancreatitis, Endoscopic, Surgical, Nutritional, Therapy
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia
Depositing User:	Nadia Del Gobbo
Date Deposited:	13 Sep 2019 08:47
Last Modified:	13 Sep 2019 08:47
URI:	http://eprints.bice.rm.cnr.it/id/eprint/8649

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