Faster Rate of Initial Fluid Resuscitation in Severe Acute Pancreatitis Diminishes In-Hospital Mortality

Pancreatology ◽  
2009 ◽  
Vol 9 (6) ◽  
pp. 770-776 ◽  
Author(s):  
Timothy B. Gardner ◽  
Santhi Swaroop Vege ◽  
Suresh T. Chari ◽  
Bret T. Petersen ◽  
Mark D. Topazian ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Hospital Mortality ◽  
Severe Acute Pancreatitis ◽  
Fluid Resuscitation

954 Slower Rate of Initial Fluid Resuscitation in Severe Acute Pancreatitis Is a Risk for in-Hospital Mortality

2008 ◽  
Vol 134 (4) ◽  
pp. A-141
Author(s):  
Timothy B. Gardner ◽  
Suresh T. Chari ◽  
Bret T. Petersen ◽  
Mark D. Topazian ◽  
Jonathan E. Clain ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Hospital Mortality ◽  
Severe Acute Pancreatitis ◽  
Fluid Resuscitation

scholarly journals Interventional Treatment of Abdominal Compartment Syndrome during Severe Acute Pancreatitis: Current Status and Historical Perspective

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Dejan V. Radenkovic ◽  
Colin D. Johnson ◽  
Natasa Milic ◽  
Pavle Gregoric ◽  
Nenad Ivancevic ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Conservative Treatment ◽  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Severe Acute Pancreatitis ◽  
Fluid Resuscitation ◽  
Interventional Treatment ◽  
Invasive Approach ◽  
Aggressive Fluid Resuscitation ◽  
Abdominal Compartment

Abdominal compartment syndrome (ACS) in patients with severe acute pancreatitis (SAP) is a marker of severe disease. It occurs as combination of inflammation of retroperitoneum, visceral edema, ascites, acute peripancreatic fluid collections, paralytic ileus, and aggressive fluid resuscitation. The frequency of ACS in SAP may be rising due to more aggressive fluid resuscitation, a trend towards conservative treatment, and attempts to use a minimally invasive approach. There remains uncertainty about the most appropriate surgical technique for the treatment of ACS in SAP. Some unresolved questions remain including medical treatment, indications, timing, and interventional techniques. This review will focus on interventional treatment of this serious condition. First line therapy is conservative treatment aiming to decrease IAP and to restore organ dysfunction. If nonoperative measures are not effective, early abdominal decompression is mandatory. Midline laparostomy seems to be method of choice. Since it carries significant morbidity we need randomized studies to establish firm advantages over other described techniques. After ACS resolves efforts should be made to achieve early primary fascia closure. Additional data are necessary to resolve uncertainties regarding ideal timing and indication for operative treatment.

The effects of fluid resuscitation according to PiCCO on the early stage of severe acute pancreatitis

Pancreatology ◽  
2015 ◽  
Vol 15 (5) ◽  
pp. 497-502 ◽  
Author(s):  
Yun Sun ◽  
Zhong-hua Lu ◽  
Xin-shu Zhang ◽  
Xiao-ping Geng ◽  
Li-jun Cao ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Severe Acute Pancreatitis ◽  
Fluid Resuscitation ◽  
Early Stage

Naso-jejunal fluid resuscitation in predicted severe acute pancreatitis: Randomized comparative study with intravenous Ringer's lactate

2015 ◽  
Vol 31 (1) ◽  
pp. 265-269 ◽  
Author(s):  
Vishal Sharma ◽  
Surinder S Rana ◽  
Ravi Sharma ◽  
Vinita Chaudhary ◽  
Rajesh Gupta ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Comparative Study ◽  
Severe Acute Pancreatitis ◽  
Fluid Resuscitation ◽  
Ringer’S Lactate

Outcome prediction, fluid resuscitation, pain management, and antibiotic prophylaxis in severe acute pancreatitis

2015 ◽  
Vol 41 (11) ◽  
pp. 2034-2035 ◽  
Author(s):  
Wolfgang Huber ◽  
Viktoria Kemnitz ◽  
Veit Phillip ◽  
Roland M. Schmid ◽  
Andreas Faltlhauser
Keyword(s):  
Acute Pancreatitis ◽  
Pain Management ◽  
Antibiotic Prophylaxis ◽  
Severe Acute Pancreatitis ◽  
Fluid Resuscitation ◽  
Outcome Prediction

scholarly journals The impact of fluid resuscitation via colon on patients with severe acute pancreatitis

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Tongtian Ni ◽  
Ying Chen ◽  
Bing Zhao ◽  
Li Ma ◽  
Yi Yao ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Severe Acute Pancreatitis ◽  
Fluid Resuscitation ◽  
Early Stage ◽  
Pure Water ◽  
Complementary Therapy ◽  
Kaplan Meier ◽  
Before And After ◽  
First Onset ◽  
The Impact

AbstractSevere acute pancreatitis (SAP) is a life-threatening disease. Fluid Resuscitation Via Colon (FRVC) may be a complementary therapy for early controlled fluid resuscitation. But its clinical application has not been reported. This study aims to explore the impact of FRVC on SAP. All SAP patients with the first onset within 72 h admitted to the hospital were included from January 2014 to December 2018 through electronic databases of Ruijin hospital and were divided into FRVC group (n = 103) and non-FRVC group (n = 78). The clinical differences before and after the therapy between the two groups were analyzed. Of the 181 patients included in the analysis, the FRVC group received more fluid volume and reached the endpoint of blood volume expansion ahead of the non-FRVC group. After the early fluid resuscitation, the inflammation indicators in the FRVC group were lower. The rate of mechanical ventilation and the incidence of hypernatremia also decreased significantly. Using pure water for FRVC was more helpful to reduce hypernatremia. However, Kaplan–Meier 90-day survival between the two groups showed no difference. These results suggest that the combination of FRVC might benefit SAP patients in the early stage of fluid resuscitation, but there is no difference between the prognosis of SAP patients and that of conventional fluid resuscitation. Further prospective study is needed to evaluate the effect of FRVC on SAP patients.

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