Experience and Pitfalls in the Treatment of Abdominal Compartment Syndrome Caused by Acute Pancreatitis
-
- Hagiwara Kazuki
- Advanced Emergency and Critical Care Medical Center, Yamanashi Prefectural Central Hospital
-
- Iwase Fumiaki
- Advanced Emergency and Critical Care Medical Center, Yamanashi Prefectural Central Hospital
Bibliographic Information
- Other Title
-
- 重症急性膵炎におけるAbdominal Compartment Syndromeに対する経験とPit Fall
Abstract
<p>Acute pancreatitis is a risk factor for intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS). As ACS is well known to be associated with a high mortality risk, one of the goals of treatment in patients with acute pancreatitis should be to prevent the development of IAH/ACS. There are numerous factors associated with increase of the intra-abdominal pressure in these cases, including inflammation of the pancreas itself, intestinal edema, and ascites. Proper fluid management is an important intervention for preventing IAH/ACS. Surgical decompression should be avoided if possible. The management of IAH/ACS utilizing the step-up approach should be implemented, from noninvasive treatment, including fluid strategies, to invasive treatments. While use of surgical decompression to manage ACS developing as a complication of acute pancreatitis has decreased in recent years, surgical decompression should be performed promptly in cases where it is difficult to control the intra-abdominal pressure. Drawing on the findings of recent studies and our own experience, herein, we discuss fluid strategies for preventing elevation of the intra-abdominal pressure, the step-up approach from noninvasive to invasive treatments, and the pitfalls in the treatment of ACS.</p>
Journal
-
- Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine)
-
Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) 43 (4), 737-742, 2023-05-31
Japanese Society for Abdominal Emergency Medicine
- Tweet
Keywords
Details 詳細情報について
-
- CRID
- 1390298355900920320
-
- ISSN
- 18824781
- 13402242
-
- Text Lang
- ja
-
- Data Source
-
- JaLC
-
- Abstract License Flag
- Disallowed