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MANAGEMENT
OF
ACUTE PANCREATITIS
JOHNY WILBERT, M.Sc[N]
LECTURER,
APOLLO INSTITUTE OF HOSPITAL
MANAGEMENT AND ALLIED SCIENCE
Management of acute pancreatitis is directed
toward relieving symptoms and preventing or
treating complications.
PAIN MANAGEMENT
• Adequate administration of analgesia.
• Parental opioids such as morphine , fentanyl,
or hydromorphone.
PROVIDE VIGROUS FLUID
REUSCITATION
• Colloids and crystalloids are administered to
replace volume losses.
• Fresh frozen plasma.
RESPIRATORY CARE
• Oxygen administration.
• Intubation.
• Mechanical ventillation.
CORRECT ELECTROLYTE AND
METABOLIC ABNORMALITIES
• Correct hypocalcemia and
hyperglycemia.
• Insulin administration.
NUTRITIONAL SUPPORT
• Withhold oral intake.
• Parental nutrition.
• Nasogastric suction.
PHARMOCOLOGICAL THERAPY
• Histamine 2 antagonists. Eg; ranitidine.
• Proton pump inhibitors. Eg; pantoprazole.
• Antibiotics
BILIARY DRAINAGE
• Placement of biliary drains( for external
drainage) and stents ( indwelling tubes) in the
pancreatic duct through endoscopy has been
performed to reestablish drainage of the
pancreas. This has resulted in decreased pain
and increased weight gain.
SURGICAL TREATMENT
• CHOLECYSTECTOMY;
for gallstone pancreatitis.
• Incision and drainage of infection and
pseudocyts.
• Debridment or pancreatectomy to remove
necrotic pancreatic tissue.
SURGICAL TREATMENT
OF
CHRONIC
PANCREATITIS
PANCREATICOJEJUNOSTOMY
with a side to side anastomosis or joining of
the pancreatic duct to the jejunum , allows
drainage of the pancreatic secretions in to the
jejunum.
SPHINCTERO PLASTY
Revision of the sphincter of the ampulla of
vater by a sphincteroplasty.
Internal drainage of a pancreatic cyst into
the stomach ,insertion of a stent and wide
resection or removal of the pancreas.
A WHIPPLE RESECTION
Resection of the part of pancreas head also
called pancreaticoduodenectomy.
PANCREATECTOMY
Removal of enter pancreas.
SPHINCTEROTOMY
Remove the stone and gall bladder at the
same time. In addition , an attempt is made to
improve the drainage of the common bile duct
and pancreatic duct by dividing the sphincter
of oddi, a muscle that is located at the ampulla
of vater.
A T- tube usually is placed in the common
bile duct , requiring a drainage system to
collect the bile post operatively.
Mangement of acute pancreatitis

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Mangement of acute pancreatitis