Surgical management of acute pancreatitis

Author:

Poston G J1,Williamson R C N1

Affiliation:

1. Department of Surgery, Royal Postgraduate Medical School, Hammersmith Hospital, London W12 ONN

Abstract

Abstract This review examines the lack of improvement in terms of mortality and outcome in patients with acute pancreatitis. Energetic fluid replacement is the only treatment of proven value. There is a strong case for identification of patients with severe disease who may benefit from early operative intervention. Eradication of gallstones may prevent further attacks in patients with gallstone pancreatitis. The benefits of pancreatic resection and necrosectomy still require full evaluation.

Publisher

Oxford University Press (OUP)

Subject

Surgery

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