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Step 1
Understand the treatment of acute pancreatitis is aimed at correcting any underlying predisposing factors that may cause this condition and at the pancreatic inflammation itself. The most important factors that may cause acute pancreatitis include gall bladder stones, alcohol abuse, high serum triglyceride concentrations, high serum calcium levels and drugs.
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Step 2
In severe pancreatitis, intensive care unit monitoring and support of pulmonary, renal, circulatory and hepatobiliary function may minimize systemic sequelae.
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Step 3
The occurrence of pancreatic infection is a leading cause of death in acute necrotizing pancreatitis. Three approaches have been taken to decrease bacterial infections in acute necrotizing pancreatitis: feeding to avoid central line related infections, maintain gut barrier integrity and decrease bacterial translocations; selective decontamination of the gut with non-absorbent antibiotics; and prophylactic systemic antibiotics. Of these, prophylactic systemic antibiotics and nutrition are very much recommended.
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Step 4
Keep in mind that surgical debridement should be done in extreme cases to remove the dead pancreatic tissue itself. This should be reserved for very critical patients especially in those where bacterial infection has occurred and who do not improve with antibiotics.
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Step 5
In patients with pancreatitis due to gall bladder stones, early endoscopic retrograde cholangiopancreatography, which is a special endoscope that is passed all the way in to the pancreatic duct going through mouth and stomach, and sphincterotomy (giving a nick in the opening of the pancreatic duct that opens in to the intestine) may prove beneficial. This is done to remove the stones that are blocking the pancreatic duct and the bile duct. Cholecystectomy should be performed prior to the discharge to avoid future attacks.













Comments
rob0405 said
on 8/30/2009 Hi all,
My name is Rob, live in Sydney Aust. I have recently been diagnosed with Acute pancreatitis whilst in hospital for several days (I am 38), I dont drink smoke or do any or all of the things which are associated with and or causes pancreatitis, which is annoying. I don't even have Gallstones.......anyway.
I am trying to find a place which can tell me the exact things I can and cant eat i.e list of some sort in particular juises I can do myself as I have a juicer. Their doesnt seem to be an exact science to the diet....Can I have milk can I have chocoloate can I have meat etc........
Hope someone can help.
Rob
luiyuming said
on 5/29/2008 Informative article on this little known type of cancer. My friend's dad suffered from it and she is trying to raise awareness about pancreas cancer. Good job!