PANCREATITIS AGUDA

PANCREATITIS AGUDA

Dr. Armando Rangel Gómez Residente de Medicina Familiar H. G. Z. no. 4 IMSS Celaya, Gto.

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HISTORIA  





Herophilus 300 A.C. descubrió el Páncreas. Andreas Vesalius en 1541 realizan la prim ime era ilustración del páncreas. En 1642 Johan Wirsung describe el conducto que lleva su nombre. Abraham Váter describe la papila duodenal en 1720.

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HISTORIA Rudolf Rudo lf He Heid iden enha haim im de desc scub ubri rió ó y pu publ blic ico o en 1875 el ciclo secretorio de la célula acinar pancreática.  W. Balser en 1882 describió la necrosis grasa intrabdominal , siendo Robert Langerhans quien la relaciono a la 

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HISTORIA

 Hans

Chiari en 1896 observo durante auttops au psiias la oc ocu urren enc cia frec ecue uen n te d e necr ne cros osis is pa panc ncre reát átic ica a, in inte terp rprret etán ándo dola la como una autodigestion  sugiriendo que

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HISTORIA 

La primera cirugía “terapéutica” en la pancreatitis aguda fue realizada en 1894 por W. Korte en Berlín.



Bernard Riedel realiza la clásica descripción de esta enfermedad en 1896.

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DEFINICION  

La pancreatitis aguda es un proceso inflamatorio agudo del páncreas, desencadenado por la activación inapropiada de las enzimas pancreáticas, con lesión tisular y respuesta inflamatori ria a local , y respuesta inflamatoria y compromiso variable

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Clínica features of acutedisease

Pancreatitis Aguda

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PANCREATITIS AGUDA HEMORRAGICA

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PANCREATITIS GRAVE  Necrosis

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DEFINICION  

La pan anc cre rea ati titi tis s se cla lasi sifi fic ca com omo o agu gud da a menos que existan hallazgos por tomografía

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DEFINICION  

La PA es habitualmente reversible. D t t

un

proceso d

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rite teri rios os PA gr grav avee (Si Simp mpos osiio At Atllant ntaa Tabla1.Cri

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Tabla 3. Criterios de Glasgow de pronóstico de

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Pancreatitis Aguda

La Obesidad Empeora el Prognostic 60 50 40 % Pacientes 30 20 10 0

Pancreatitis Grave Complicaciones Sistémicas

El efecto puede ser mayor con una relación cintura/cadera elevada Mecanismos Posibles

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Líquido

Deshilachad o (grasa)

Necrosis

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PROGRESION PROGRE SION A NECROSI NECROSIS S PANCREA PANCREATICA TICA

Páncreas

Necrosis pancreática

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TRATAMIENTO 



MEDIDAS DE APOYO  Reemplazo agresivo de líquidos y electrolitos CONTROLAR:    

Signos vitales Diuresis Saturación de O2 Analgesia y antieméticos.