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Principles of Adult Surgical Critical Care pp 181–210Cite as

Critical Care Management of Severe Acute Pancreatitis

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Abstract

Acute pancreatitis is a common gastrointestinal disease that results in a significant physical, psychosocial, and financial toll [2, 3]. It has become the leading gastroenterology discharge diagnosis in the United States and its incidence appears to be increasing [2, 4, 5]. The cost of caring for these patients is greater than 2 billion dollars annually, and the cost of a single survivor of severe acute pancreatitis has been estimated at $129,000 [3, 6]. There is a spectrum of disease from the mild edematous form to severe acute necrotizing pancreatitis with associated multiple organ system dysfunction. The most common form of the disease is mild with a 3–4-day self-limited course and a low mortality and occurs in nearly 80 % of patients [7, 8]. Unfortunately, 20 % of patients will develop severe acute pancreatitis with a fulminant clinical course. Those with the severe form of the disease often require prolonged intensive care unit (ICU) and hospital lengths of stay, invasive support and procedures for organ failure, and management of pancreatic necrosis and mortality rates that approach 30 % [8–11].

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Authors and Affiliations

  1. Acute Care Surgery, R. Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD, 21201, USA

    Ronald Tesoriero MD, FACS

  2. Acute Care Surgery, R Adams Cowley Shock Trauma Center, University of Maryland Medical Center, Baltimore, MD, 21201, USA

    Jose J. Diaz MD

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  1. Ronald Tesoriero MD, FACS
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  2. Jose J. Diaz MD
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Correspondence to Ronald Tesoriero MD, FACS .

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  1. Trauma, Surgical Critical Care, Emergency Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA

    Niels D. Martin

  2. Trauma, Surgical Critical Care, Emergency Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA

    Lewis J. Kaplan

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Tesoriero, R., Diaz, J.J. (2016). Critical Care Management of Severe Acute Pancreatitis. In: Martin, N.D., Kaplan, L.J. (eds) Principles of Adult Surgical Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-319-33341-0_17

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