Experience and Pitfalls in the Treatment of Abdominal Compartment Syndrome Caused by Acute Pancreatitis

DOI
  • 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

Description

<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

Keywords

Details 詳細情報について

  • CRID
    1390298355900920320
  • DOI
    10.11231/jaem.43.737
  • ISSN
    18824781
    13402242
  • Text Lang
    ja
  • Data Source
    • JaLC
  • Abstract License Flag
    Disallowed

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