La estrategia step-up y su eficacia, en el manejo de la pancreatitis aguda necrotizante
The Step-Up strategy is presented as a promising approach in the treatment of acute necrotizing pancreatitis (PAN), seeking to improve the challenging outcomes associated with this highly fatal condition. Objective, to perform an updated review of the Step-Up strategy and its efficacy in the managem...
Wedi'i Gadw mewn:
| Prif Awdur: | |
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| Fformat: | bachelorThesis |
| Iaith: | spa |
| Cyhoeddwyd: |
2024
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| Pynciau: | |
| Mynediad Ar-lein: | https://dspace.uniandes.edu.ec/handle/123456789/18673 |
| Tagiau: |
Ychwanegu Tag
Dim Tagiau, Byddwch y cyntaf i dagio'r cofnod hwn!
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Ychwanegu Tag | Crynodeb: | The Step-Up strategy is presented as a promising approach in the treatment of acute necrotizing pancreatitis (PAN), seeking to improve the challenging outcomes associated with this highly fatal condition. Objective, to perform an updated review of the Step-Up strategy and its efficacy in the management of PAN in order to improve the prognosis of this disease. Methodology a qualitative approach was applied in this study, carrying out a literature review in academic databases such as “Pubmed” “Google Scholar” and “MedScape”, retrospective articles, focused on patients with PAN were selected for analysis. Result of the 35 studies analyzed, 8 were included in the analysis. A significant portion was found to support the use of minimally invasive interventions as a first option before considering open necrosectomy. The Step-Up strategy was shown to offer significant advantages in a considerable number of cases, while the 4-step approach showed effectiveness in a smaller proportion, reducing risks and complications. However, open necrosectomy led to major complications in a minority of cases. Conclusions we suggest initiating treatment with conventional measures and antibiotics, considering the Step-Up strategy at a later stage and contemplating open necrosectomy in cases of failure, while maintaining caution due to its potential complications. This review underlines the importance of a gradual and personalized approach in the management of PAN to improve clinical outcomes and reduce associated mortality. |
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