Akute Pankreatitis – Teil 2: Therapeutisches Vorgehen

In der Therapie der akuten Pankreatitis wird eine schrittweise Eskalation der Therapie (Step-up Approach) angestrebt: Von der konservativen Behandlung über die gastroskopische oder perkutane Drainageeinlage zur minimalinvasiven Nekrosektomie und schließlich zur offenen Nekrosektomie, wenn andere Verfahren versagen. Durch dieses Vorgehen konnte die Rate an schweren Komplikationen und das Auftreten von Spätfolgen deutlich gesenkt werden.

Schlüsselwörter

Pankreas - Bauchspeicheldrüse - Cholezystolithiasis - Intensivmedizin - endoskopische Verfahren - minimalinvasive Chirurgie

• Literatur

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