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Current Status in the Management of Acute Pancreatitis

Enrique Maraví-Poma and Félix Zubia-Olaskoaga

Acute Pancreatitis is a clinical entity with a high morbidity and mortality in the most severe forms. The prediction of the severity in admission is difficult, and we recommend a protocolled clinical and analytical control. In the first days, patients need support measures with adequate fluid management, control of the intra-abdominal pressure, and enteral nutrition. A new challenge is the benefit of “long peritoneal lavage” conservative treatment of the 80s and now recovered and updated by researchers. The management of the infected necrosis is crucial, attempting to delay surgery when is possible. The conservative management results very interesting, but it are not clear its usefulness in patients with multiple organ failure and infected necrosis.