Strategies to further improve the overall cure rate of acute pancreatitis
10.3760/cma.j.issn.1673-9752.2018.12.005
- VernacularTitle:进一步提高急性胰腺炎整体治愈率的策略
- Author:
Bei SUN
1
;
Guangquan ZHANG
Author Information
1. 150001,哈尔滨医科大学附属第一医院胰胆外科
- Keywords:
Severe acute pancreatitis;
Comprehensive therapy;
Step-up;
Multiple disciplinary team
- From:
Chinese Journal of Digestive Surgery
2018;17(12):1160-1165
- CountryChina
- Language:Chinese
-
Abstract:
Acute pancreatitis (AP) is a common clinical acute abdominal disease.To further improve its overall cure rate,severe acute pancreatitis (SAP) should be paid more attention.In early inflammatory reaction period of SAP,comprehensive treatment in ICU should be strengthened,including adequate fluid resuscitation,early viscera function protection,effective nutritional support and dealing with abdominal compartment syndrome.Surgeons should be responsible in the treatment of infection period of SAP,and seize the timing of surgical intervention correctly.Pluralistic debridement model should be set up,which is mainly based on "step-up" strategy and combined with minimally invasive and multi-disciplinary.In addition,late complications of SAP should be prevented and treated with caution when they occur.The whole SAP treatment system should be based on the multi-disciplinary team (MDT),which requires fully cooperation of each department.Moreover,medical unions at different levels should be established to realize prompt network consultation or referral.In this way,case fatality rate of SAP can be reduced and overall cure rate of AP can be improved,thus benefiting the patients to the maximum extent.
