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Controversies in the management of acute pancreatitis:An update

World Journal of Clinical Cases 2023年第12期11卷 2582-2603页

作者： Manish Manrai Saurabh Dawra Anupam K Singh Daya Krishna Jha Rakesh Kochhar Department of Internal Medicine Armed Forces Medical CollegePune 411040India Department of Medicine and Gastroenterology Command HospitalPune 411040India Department of Gastroenterology Post Graduate Institute of Medical Education and ResearchChandigarh 160012India Department of Gastroenterology Army Hospital(Research and Referral)New Delhi 11010India

This review summarized the current controversies in the management of acute pancreatitis(AP).The controversies in management range from issues involving fluid resuscitation,nutrition,the role of antibiotics and antifungals,which analgesic to use,role of anticoagulation and intervention for complications in *** interventions vary from percutaneous drainage,endoscopy or *** research and emerging data are helping to formulate better *** available evidence favors crystalloids,although the choice and type of fluid resuscitation is an area of dynamic *** nutrition aspect does not have controversy as of now as early enteral feeding is preferred most often than *** empirical use of antibiotics and antifungals are gray zones,and more data is needed for conclusive *** choice of analgesic is being studied,and the recommendations are still *** position of using anticoagulation is still awaiting *** role of intervention is well established,although the modality is constantly changing and favoring endoscopy or percutaneous drainage rather than *** is evident that more multicenter randomized controlled trials are required for establishing the standard of care in these crucial management issues of AP to improve the morbidity and mortality worldwide.

关键词： Acute pancreatitis Fluid resuscitation antibiotics Analgesia anti coagulation Intervention

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