Pancréatite aiguë

Code/s CIM-10 : K85
Auteur : Article non édité
Dernière mise à jour : 30/11/-0001

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Causes : A éditer

( Recos internationales 2025 , )

Remplissage vasculaire d'urgence

Remplissage modéré si pancréatite sévère, ou hypoTA

Si pancréatite modérée à sévère : un remplissage modéré (bolus de 10 ml/Kg suivi de 1,5 ml/Kg/h) produit des meilleurs résultats qu'un remplissage plus agressif (ERICA 2022)

ERICA 2022. Essai randomisé : Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis. N Engl J Med

A total of 249 patients were included in the interim analysis. The trial was halted owing to between-group differences in the safety outcomes ... early aggressive fluid resuscitation resulted in a higher incidence of fluid overload [20.5% of patients wwith aggressive and 6.3% with moderate resuscitation] without improvement in clinical outcomes.
Recos Internationales Pancreatitis 2025. Recommandations de pratique clinique : International Association of Pancreatology Revised Guidelines on Acute Pancreatitis 2025: Supported and Endorsed by the American Pancreatic Association, European Pancreatic Club, Indian Pancreas Club, and Japan Pancreas Society. Pancreatology

The guidelines pertain to 18 domains comprising 96 questions. The recommendations cover almost all aspects of managing AP, including pain control, fluid therapy, patient stabilization, nutritional support, conservative and interventional treatment for infected necrotizing pancreatitis, management of complications, discharge criteria, guidance on follow-up, and strategies for prevention of recurrence. Specific types of AP, such as those associated with pregnancy, trauma, and metabolic factors have been given