PANCREATITIS AGUDA

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Ana
Gutierrez
Rodriguez

DEFINICION
La

pancreatitis aguda es una enfermedad

inflamatoria aguda de el pancreas, la cual
puede originar una respuesta inflamatoria
sistemica con significativa morbilidad y
mortalidad.

JENNIFER K, BRIAN HERRICK, TERESA GIPSON. Acute Pancreatitis: Diagnosis, Prognosis, and Treatment. American Family Physician.
Volume 75, Number 10 , May 15, 2007

EPIDEMIOLOGA

Incidencia:

USA: 183 por milln hab.

UK: 150 a 420 por milln habit.
Raza:

Negra: Blanca = 3:1

Sexo:
M>F
M > Alcohol F > Biliar
Prevalencia:
Biliar: 50%
JENNIFER K, BRIAN HERRICK, TERESA GIPSON.
Acute Pancreatitis:
Diagnosis, Prognosis, and Treatment. American Family Physician.
Alcohol:
30%
Volume 75, Number 10 , May 15, 2007

FISIOPATOLOGIA

JENNIFER K, BRIAN HERRICK, TERESA GIPSON. Acute Pancreatitis: Diagnosis, Prognosis, and Treatment. American Family Physician. Volume 75,

FISIOPATOLOGIA

Jorge Ivn Lizarazo Rodrguez. Fisiopatologa de la pancreatitis aguda. Rev Col Gastroenterol / 23 (2) 2008

ETIOLOGIA

Dulce M Cruz-Santamara, Carlos Taxonera, Manuel Giner. Update on pathogenesis and clinical
management of acute pancreatitis. World J Gastrointest Pathophysiol 2012 June 15; 3(3): 60-70

LITIASIS BILIAR

Dulce M Cruz-Santamara, Carlos Taxonera, Manuel Giner. Update on pathogenesis and clinical
management of acute pancreatitis. World J Gastrointest Pathophysiol 2012 June 15; 3(3): 60-70

PANCREATITIS ALCOHOLICA

Parimal Chowdhury, Priya Gupta. Pathophysiology of alcoholic pancreatitis: An overview. World J

Gastroenterol 2006 December 14; 12(46): 7421-7427

DIAGNOSTICO
1) Dolor abdominal caracterstico
2) Elevacin de amilasa o lipasa > 3-4 veces su valor.
Amilasa declina al 3 da.
Se recomienda preferir lipasa cuando est

disponible para Dx.

3) Imgenes: TAC,RMN, ECO.

Alfredo F Tonsi, Matilde Bacchion, Stefano Crippa, Giuseppe Malleo, Claudio Bassi. Acute pancreatitis at the
beginning of the 21st century: The state of the art. World J Gastroenterol 2009 June 28; 15(24): 2945-2959

Click to edit Master subtitle style

CRITERIOS DE SEVERIDAD EN
PANCREATITIS AGUDA

CRITERIOS DE RANSON

Rans on JHC. Ethiological and prognos tic factors in hu man acute pancreatitis : a review. Am J
1982; 77: 633-638

Gas troenterol

Dulce M Cruz-Santamara, Carlos Taxonera, Manuel Giner. Update on pathogenesis and clinical management of acute pancreatitis. World J
Gastrointest Pathophysiol 2012 June 15; 3(3): 60-70

PANCREATITIS AGUDA BALTAZAR

A

PANCREATITIS AGUDA BALTAZAR

B

PANCREATITIS AGUDA
BALTAZAR C

PANCREATITIS AGUDA BALTAZAR

D

PANCREATITIS AGUDA BALTAZAR

E

JENNIFER K, BRIAN HERRICK, TERESA GIPSON. Acute Pancreatitis: Diagnosis, Prognosis, and Treatment. American Family Physician.
Volume 75, Number 10 , May 15, 2007

JENNIFER K, BRIAN HERRICK, TERESA GIPSON. Acute Pancreatitis: Diagnosis, Prognosis, and Treatment. American Family Physician.
Volume 75, Number 10 , May 15, 2007

USO DE METOCLOPRAMIDA EN
TRATAMIENTO DE PANCREATITIS
AGUDA
El TRATAMIENTO EN CASO DE NAUSEAS O VOMITOS ES
ADMINISTRAR 10 MG DE METOCLOPRAMIDA CADA 8
HORAS. EN CASO DE NO CEDER O EXISTIR ILEO
PARALITICO, SE DEBE COLOCAR UNA SONDA
NASOGASTRICA

Masahiko Hirota, Tadahiro Takada, Yoshifumi Kawarada, Koichi Hirata, Toshihiko Mayumi, Masahiro Yoshida, Miho Sekimoto, Yasutoshi Kimura,
Kazunori Takeda, Shuji Isaji, Masaru Koizumi, Makoto Otsuki, Seiki Matsuno.. JPN Guidelines for the management of acute pancreatitis: severity
assessment of acute pancreatitis. J Hepatobiliary Pancreat Surg (2006) 13:3341

CLASIFICACIONES REVISADA DE ATLANTA PARA

LAS COLECCIONES DE FLUIDOS EN PANCREATITIS
AGUDA
ENTIDAD

TIPO
PANCREATITIS

TIEMPO DE
EVOLUCION

PRESENCIA DE
MATERIAL
SOLIDO

PARED
ENCAPSULADA

COLECCION
AGUDA DE
FLUIDO

INTERSTICIAL

< 4 SEMANAS

NO

NO

NECROSIS
PANCREATICA
AGUDA

NECROTICA

> 4 SEMANAS

SI

NO

PSEUDOQUISTE

INTERSTICIAL

> 4 SEMANAS

NO

SI

NECROSIS
PANCREATICA
ORGANIZADA

NECROTICA

> 4 SEMANAS

SI

SI

Gardner TB. Endoscopic management of necrotizing pancreatitis. Gastrointest Endosc.

2012;76(6):1214-23.

23/04/