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PANCREATITIS AGUDA
Ana Belen Gutierrez Rodriuez
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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
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EPIDEMIOLOGÍA
Incidencia:USA/ 012 $or &ill3n 4ab+
U-/ 056 a 786 $or &ill3n 4abit+
Raza: Nera/ Blanca 9 2/0Sexo: M:!
M : Alco4ol ! : BiliarPrevalencia/ Biliar/ 56;
Alco4ol/ 26; ,ENNI!ER -( BRIAN .ERRIC-( TERESA GIPS"N+ Acute Pancreatitis/ Dianosis( Pronosis( and Treat&ent+ American F
Volume 75, Number 10 ( May 15, 2007
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!ISI"PAT"#"GIA
,ENNI!ER -( BRIAN .ERRIC-( TERESA GIPS"N+ Acute Pancreatitis/ Dianosis( Pronosis( and Treat&ent+ America
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!ISI"PAT"#"GIA
,ore I*=n #izarazo Rodr>uez+ Fisiopatologa de la pancreatitis ag!da" Re* Col Gastroenterol < 8
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ETI"#"GIA
Dulce M CruzSanta&ar>a( Carlos Taonera( Manuel Giner+ #pdate on pat$ogenesis and cl
%anage%ent o& ac!te pancreatitis" World J as!roin!es! Pa!ho"hysiol 8608 ,une 05 2?2@
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#ITIASIS BI#IAR
Dulce M CruzSanta&ar>a( Carlos Taonera( Manuel Giner+ #pdate on pat$ogenesis and clin
%anage%ent o& ac!te pancreatitis" World J as!roin!es! Pa!ho"hysiol 8608 ,une 05 2?2@/
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PANCREATITIS A#C"."#ICA
Pari&al C4oFd4ury( Priya Gu$ta+ Pat$op$'siolog' o& alco$olic pancreatitis: An overvie("as!roen!erol 866 Dece&ber 07 08?7@/ 78078
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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
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4RI3ERIOS DE SE7ERIDAD E6PA64REA3I3IS AG#DA
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CRITERI"S DE RANS"N
Ranson JHC. Ethiological and prognostic factors in human acute pancreatitis: a review. Am J Gastroenterol
198! "": #$$%#$8
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Dulce M CruzSanta&ar>a( Carlos Taonera( Manuel Giner+ #pdate on pat$ogenesis and clinical %anage%ent o& ac!te panas!roin!es! Pa!ho"hysiol 8608 ,une 05 2?2@/ 66
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PANCREATITIS AGUDA BA#TAARA
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PA64REA3I3IS AG#DA 8AL3A9AR8
PA64REA3I3IS AG#DA
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PA64REA3I3IS AG#DA8AL3A9AR 4
PA64REA3I3IS AG#DA 8AL3A9AR
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PA64REA3I3IS AG#DA 8AL3A9ARD
PA64REA3I3IS AG#DA 8AL3A9AR
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PA64REA3I3IS AG#DA 8AL3A9ARE
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,ENNI!ER -( BRIAN .ERRIC-( TERESA GIPS"N+ Acute Pancreatitis/ Dianosis( Pronosis( and Treat&ent+ American FVolume 75, Number 10 ( May 15, 2007
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,ENNI!ER -( BRIAN .ERRIC-( TERESA GIPS"N+ Acute Pancreatitis/ Dianosis( Pronosis( and Treat&ent+ American FVolume 75, Number 10 ( Ma 15, 2007
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#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
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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!.