Acute pancreatitis

Lancet. 2020 Sep 5;396(10252):726-734. doi: 10.1016/S0140-6736(20)31310-6.

Abstract

Acute pancreatitis is an unpredictable and potentially lethal disease. The prognosis mainly depends on the development of organ failure and secondary infection of pancreatic or peripancreatic necrosis. In the past 10 years, treatment of acute pancreatitis has moved towards a multidisciplinary, tailored, and minimally invasive approach. Despite improvements in treatment and critical care, severe acute pancreatitis is still associated with high mortality rates. In this Seminar, we outline the latest evidence on diagnostic and therapeutic strategies for acute pancreatitis.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Amylases / blood
  • Anti-Bacterial Agents / therapeutic use*
  • Cholangiopancreatography, Endoscopic Retrograde*
  • Cholecystectomy
  • Diabetes Mellitus / etiology
  • Diabetes Mellitus / therapy
  • Drainage*
  • Exocrine Pancreatic Insufficiency / etiology
  • Exocrine Pancreatic Insufficiency / therapy
  • Fluid Therapy*
  • Gallstones / complications
  • Gallstones / surgery
  • Humans
  • Lipase / blood
  • Magnetic Resonance Imaging
  • Nutritional Support*
  • Pancreatitis / blood
  • Pancreatitis / diagnosis*
  • Pancreatitis / etiology
  • Pancreatitis / therapy*
  • Pancreatitis, Acute Necrotizing / diagnosis
  • Pancreatitis, Acute Necrotizing / etiology
  • Pancreatitis, Acute Necrotizing / therapy
  • Pancreatitis, Alcoholic / diagnosis
  • Pancreatitis, Alcoholic / therapy
  • Secondary Prevention
  • Stents
  • Tomography, X-Ray Computed
  • Ultrasonography

Substances

  • Anti-Bacterial Agents
  • Lipase
  • Amylases