Prognostic indicators and management of severe acute pancreatitis
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Severe acute pancreatitis (SAP) is defined according to clinicobiological, radiological, and evolutionary criteria. In this review, we discuss the main prognostic factors and propose a therapeutic approach based on recent literature. The treatment of SAP primarily involves resuscitation and intensive care, with surgery reserved as a secondary treatment in the event of complications or cases of biliary etiology. Despite advancements, the prognosis remains guarded for severe forms. A critical challenge in this emergency context is the early identification of markers that can guide patients with severe SAP to referent centers with multidisciplinary and specialized teams. These teams play a dual role: providing optimal acute-phase care and ensuring long-term monitoring due to potential functional consequences that may persist post-crisis.
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