Pankreatik Nekroz ve Tedavisi

Year 2025, Volume: 20 Issue: 3, 241 - 248

Mesut Kuş , Serhat Akpınar , Bülent Kantarçeken , Kadir Gişi

https://doi.org/10.17517/ksutfd.1744167

Abstract

Akut pankreatit temel olarak pankreas dokusunun inflamasyonudur ve hafif interstisyel (ödematöz) pankreatitten, önemli lokal veya sistemik komplikasyonlarla beraber ciddi oranda morbidite ve mortalitesi olan şiddetli hastalığa kadar ilerleyebilir. Vakaların %80’i hafif olup ciddi morbidite olmaksızın 5-7 günde gerilerken %20’sinde başvuruda veya ilk 72 saat içinde yaygın pankreatik nekroz ve organ yetmezliği ile birlikte seyreden şiddetli veya fulminant akut pankreatit tablosu ortaya çıkmaktadır. Bu durumda %25-30 mortal seyretmektedir. Bu derlemede pankreatik nekroz ve tedavisine güncel bilgiler ışığında pratik bir yaklaşım sunmak amaçlanmıştır.

Keywords

Akut pankreatit , pankreatik nekroz , balthazar skorlaması

Pancreatic Necrosis and Treatment

Abstract

Acute pancreatitis is essentially inflammation of pancreatic tissue and can progress from mild interstitial (edematous) pancreatitis to severe disease with significant local or systemic complications and significant morbidity and mortality. While 80% of cases are mild and resolve in 5-7 days without serious morbidity, 20% present with severe or fulminant acute pancreatitis with widespread pancreatic necrosis and organ failure on presentation or within the first 72 hours. In this case, 25-30% have a mortal course. In this review, we aimed to present a practical approach to pancreatic necrosis and its treatment in the light of current knowledge.

Keywords

Acute pancreatitis , pancreatic necrosis , balthazar scoring

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