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괴사성 췌장염에서 보존적 치료의 효용성에 대한 고찰

Systemic Review for The Effectiveness of Current Conservative Treatment in Necrotizing Pancreatitis

고신대학교 의과대학 학술지 2014년 29권 1호 p.11 ~ 16
박정익, 양웅석,
소속 상세정보
박정익 ( Park Jung-Ik ) - 동의의료원 내과
양웅석 ( Yang Ung-Seok ) - 부산대학교 의과대학 내과학교실

Abstract


The standard treatment of pancreatic necrosis has been surgical necrosectomy. There has been debate on whether early surgical intervention can reduced by infected pancreatic necrosis (IPN). Early emergency laparotomy and multiple organ failure remain associated with high mortality. However, reports have presented during the last 10 years of survival of severe acute pancreatitis with medical management. Large and multicenter study showed that about two thirds of patients with necrotizing pancreatitis can be treated conservatively with relatively low mortality. Patients with IPN benefit from postponding intervention and minimal invasive treatment. We reviewed 4 literatures including 2 Korean institute reseached reports concerning non-surgical, conservative treatments of necrotizing pancreatitis including IPN. Large and multicenter study showed that about two thirds of patients with necrotizing pancreatitis can be treated conservatively with relatively low mortality.

키워드

Acute pancreatitis; Infection; Necrosis; Treatment

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