Unit:
Κατεύθυνση Αναπνευστική Ανεπάρκεια-Μηχανικός ΑερισμόςLibrary of the School of Health Sciences
Supervisors info:
Αναστασία Κοτανίδου Καθηγήτρια, Ιατρική Σχολή, ΕΚΠΑ
Αντωνία Καλογιάννη Επίκουρη Καθηγήτρια, Τμήμα Νοσηλευτικής, ΠΔΑ
Χριστίνα Μαρβάκη Ομότιμη Καθηγήτρια, Τμήμα Νοσηλευτικής, ΠΔΑ
Original Title:
Διαχείριση οξείας παγκρεατίτιδας στο τμήμα επειγόντων περιστατικών
Translated title:
Management of acute pancreatitis in the emergency department
Summary:
Introduction: Heterogeneity in clinical manifestations and the outcome of pancreatitis constitutes an obstacle for the creation of a common treatment algorithm by the scientific community. This fact emphasizes the importance of formulating comprehensible and workable recommendations for diagnosis and treatment.
The purpose of this study is to systematically review the management of cases of acute pancreatitis in Emergency Department (ED) and her correlation with outcome.
Methods: Search the database Pubmed with keywords “acute pancreatitis, management, emergency department” and observational studies and randomized trials in adults were included, with the exception of case reports and conference extracts.
Results: The search yielded 13 studies. Of these, 3 concerned the diagnostic approach of the disease in ED and concluded that lipase is the most reliable test in diagnosis, while computed tomography of the abdomen is not recommended as a routine examination. 5 out of 13 studies analyzed the usefulness of disease severity identification systems, with the BISAP and HASP score appearing as reliable as the APACHE II and RANSON score, but having an advantage in rapid patient evaluation. The last 5, studied the need for immediate therapeutic / invasive method, with the time of surgery from the arrival at the ED being decisive as it affects the outcome of the disease. It is generally seen that the early invasive method is gaining ground in the treatment of the disease.
Conclusion: The main goal is to predict the most severe forms of the disease in order to receive the right (invasive or not) treatment to improve survival and quality of life.
Main subject category:
Health Sciences
Keywords:
Acute pancreatitis, Aacute pancreatitis in emergency department, Severe acute pancreatitis, Management of acute pancreatitis in the emergency department
File:
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ΤΣΙΑΜΠΑΣ ΙΩΑΝΝΗΣ - ΔΙΠΛΩΜΑΤΙΚΗ ΔΙΑΧΕΙΡΙΣΗ ΟΞΕΙΑΣ ΠΑΓΚΡΕΑΤΙΤΙΔΑΣ ΣΤΟ ΤΜΗΜΑ ΕΠΕΙΓΟΝΤΩΝ ΠΕΡΙΣΤΑΤΙΚΩΝ (1) - Αντιγραφή.pdf
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File access is restricted only to the intranet of UoA.
