Principles of Intensive Care of Patients with Acute Pancreatitis

  • U. R. Fölsch


There is general agreement that a patient with acute pancreatitis should be transferred to an intensive care unit for several reasons. There is no single clinical sign or symptom or laboratory test which by itself indicates the presence of acute pancreatitis or its severity, and thus the main reason is to achieve correct initial evaluation of the patient. This is the more important since to date no specific drug is available to treat this disease. The second reason is therefore to prevent the many complications of pancreatitis by monitoring the patient closely; to limit the extent of complications by interrupting their pathogenesis or to support the patient and treat specific complications.


Acute Pancreatitis Peritoneal Dialysis Acute Respiratory Failure Severe Acute Pancreatitis Peritoneal Lavage 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Perez Oteyza C, Rebollar JL, Chantres MT, Estella J (1979) Alteraciones elec- trocardiogrâficas en la pancreatitis aguda. Rev Clin Esp 152:287PubMedGoogle Scholar
  2. 2.
    Silverstein W, Isikoff MB, Hill MC, Barkin J (1981) Diagnostic imaging of acute pancreatitis: prospective study using CT and sonography. AJR 137:497PubMedGoogle Scholar
  3. 3.
    Elliot DW, Zollinger RM, Moore R, Ellison EH (1955) The use of human serum albumin in the management of acute pancreatitis. Gastroenterology 28:563Google Scholar
  4. 4.
    Lankisch PG, Koop H (1978) Dopamin-Wirkung auf die basale Pankreassekretion des Menschen. Dtsch Med Wochenschr 103:391PubMedCrossRefGoogle Scholar
  5. 5.
    Amundsen E, Ofstad E, Hagen PO (1968) Experimental acute pancreatitis in dogs. I. Hypotensive effect induced by pancreatic exudate. Scand J Gastroenterol 3:659PubMedGoogle Scholar
  6. 6.
    Lankisch PG, Koop H, Winckler K, Schmidt H (1979) Continuous peritoneal dialysis as treatment of acute experimental pancreatitis in the rat. II. Analysis of its beneficial effect. Dig Dis Sci 24:117PubMedCrossRefGoogle Scholar
  7. 7.
    Ranson JHC, Rifkind KM, Turner JW (1976) Prognostic signs and nonoperative peritoneal lavage in acute pancreatitis. Surg Gynecol Obstet 143:209PubMedGoogle Scholar
  8. 8.
    Ranson JHC, Spencer FC (1978) The role of peritoneal lavage in severe acute pancreatitis. Ann Surg 187:565PubMedCrossRefGoogle Scholar
  9. 9.
    Mayer AD, McMahon MJ, Corfield AP, Cooper MJ, Williamson RCN, Dickson AP, Shearer MG, Imrie CW (1985) Controlled clinical trial of peritoneal lavage for the treatment of severe acute pancreatitis. N Engl J Med 312:399PubMedCrossRefGoogle Scholar
  10. 10.
    Büchler M, Block S, Krautzberger W, Bittner R, Beger HG (1985) Nekrotisierende Pankreatitis: Peritoneal-Lavage oder Bursa-Lavage? Ergebnisse einer prospektiven konsekutiven kontrollierten Studie. Chirurg 56:247PubMedGoogle Scholar
  11. 11.
    Ranson JHC, Roses DF, Fink SD (1973) Early respiratory insufficiency in acute pancreatitis. Ann Surg 178:75PubMedCrossRefGoogle Scholar
  12. 12.
    Imrie CW, Ferguson JC, Murphy D, Blumgart LH (1977) Arterial hypoxia in acute pancreatitis. Br J Surg 64:185PubMedCrossRefGoogle Scholar
  13. 13.
    Lankisch PG, Rahlf G, Koop H (1983) Pulmonary complications in fatal acute hemorrhagic pancreatitis. Dig Dis Sci 28:111CrossRefGoogle Scholar
  14. 14.
    Imrie CW, Blumgart LH (1975) Acute pancreatitis: a prospective study on some factors in mortality. Bull Soc Int Chir 6:601Google Scholar
  15. 15.
    Hayes MF Jr, Rosenbaum RW, Zibelman M, Matsumoto T (1979) Adult respiratory distress syndrome in association with acute pancreatitis. Am J Surg 127:314CrossRefGoogle Scholar
  16. 16.
    Frey CF, Lindenauer SM, Miller TA (1979) Pancreatic abscess. Surg Gynecol Obstet 149:722PubMedGoogle Scholar
  17. 17.
    Craig RM, Dordal E, Myles L (1975) The use of ampicillin in acute pancreatitis. Ann Intern Med 83:831PubMedGoogle Scholar
  18. 18.
    Howes R, Zuidema GD, Cameron JL (1975) Evaluation of prophylactic antibiotics in acute pancreatitis. J Surg Res 18:197PubMedCrossRefGoogle Scholar
  19. 19.
    Finch WT, Sawyers JL, Schenker S (1976) A prospective study to determine the efficacy of antibiotics in acute pancreatitis. Ann Surg 183:667PubMedCrossRefGoogle Scholar
  20. 20.
    Stone HH, Fabian TC (1980) Peritoneal dialysis in the treatment of acute alcoholic pancreatitis. Surg Gynecol Obstet 150:878PubMedGoogle Scholar
  21. 21.
    Hallberg D, Theve NO (1974) Observations during treatment of acute pancreatitis with insulin and glucose infusion. Acta Chir Scand 140:138PubMedGoogle Scholar
  22. 22.
    Svensson J-O (1975) Role of intravenously infused insulin in treatment of acute pancreatitis. Scand J Gastroenterol 10:487PubMedGoogle Scholar
  23. 23.
    Donaldson LA, Williams RW, Schenk WG Jr (1978) Experimental pancreatitis: effect of plasma and dextran on pancreatic blood flow. Surgery 84:313PubMedGoogle Scholar
  24. 24.
    Efira A, Clumeck N, Naeije R (1974) Syndrome de défibrination au cours de la pancréa- tite aiguë: 6 observations. Etude prospective de la coagulation chez 41 malades. Nouv Presse Med 8:1915Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1987

Authors and Affiliations

  • U. R. Fölsch
    • 1
  1. 1.Department of Gastroenterology and MetabolismUniversity Medical HospitalGöttingenGermany

Personalised recommendations