Pancreatitis Acute Flashcards
1
Q
% mild vs necrotizing
A
20% complicated evolution with necrosis
2
Q
Biliary pancreatitis
A
CCK in the same hospitalisation, once resolved
3
Q
Sterile necrosis
A
no indication
4
Q
Indication for operation
A
- infected pancreas necrosis
- persisting necrotising pancreatitis
- abscess not reachable through CT punktion
- pseudocyst that are symptomatic
5
Q
Favorite Operative technique
A
One time necrosectomy with continuous lavage - do it as late as possible to have a demarcated necrosis - open small bursa - clear up all necrosis - microbiology Lavage: - peritonealdialysis solution - 10-20l per day - may take up to 3-6 weeks
6
Q
Open Packing
A
Laparostoma
place compresses
wash daily
