Treatment Algorithm for Severe Necrotic Pancreatitis from the Point of View of Interdisciplinary Collaboration

Overview

The authors highlight the increased incidence of acute pancreatitis with the part of severe forms which still have high mortality.In the chapter „Methods“ they present their treatment algorithm for acute pancreatitis with emphasis on its severe forms. The authors particularlyaccent the medical collaboration with intensivists and other specialists (from the area of nephrology, haematology, gastroenterology and cardiology).The condition for the achievement of good treatment results in severe forms of acute pancreatitis is strong interdisciplinary collaboration and the useof advanced treatment methods.The authors gained their experience during 3.5 years in 37 patients in whom the diagnosis of pancreatic necrosis was confirmed. 19 patients wereadmitted to the intensive care unit. 13 patients (68%) required ventilatory support and 6 patients (31%) required hemodialysis. The total mortality inthe group of 37 patients with severe acute pancreatitis was 29.73%. The adverse prognosis can be improved only by precise and intensive medicalcollaboration.

Key words:
necrotic pancreatitis – surgical treatment – active approach – interdisciplinary collaboration