PANCREATITIS

El rol del tratamiento miniinvasivo adquiere importancia en las complicaciones locales de la pancreatitis aguda necrotizante (necrohemorrágica). No tiene lugar en las formas leves de pancreatitis. Los tratamientos miniinvasivos carecen de utilidad en el comienzo del cuadro agudo, debido a que la respuesta inflamatoria sistémica temprana simula un estado séptico.

dietoterapia del paciente con pancreatitis cronica

El cáncer de páncreas es una afección frecuente y su incidencia va en aumento. En Paraguay ocupa el 4º lugar después del cáncer de pulmón, próstata y colon en el hombre y el 5º lugar en la mujer, luego del cáncer de útero, mama, pulmón, endometrio y ovario. Los tumores de páncreas se clasifi can según su origen en tumores sólidos, los mas frecuentes cuyo origen es en el ductus pancreático en el 95%, y apenas 1% en acinus. Menos del 1% corresponde a tumores quísticos, y raramente se encuentran tumores neuroendócrinos, entre ellos el insulinoma. En la Mayo Clínic de USA, sobre 10.314 autopsias se encontraron solo 44 tumores insulares, es decir, 0.4%. El presente artículo se ocupa exclusivamente de los tumores sólidos de páncreas, los más frecuentes. Cáncer de páncreas -Encare diagnóstico y terapéutico -El cáncer de páncreas es una entidad en aumento, de pronóstico • sombrío, pues la sobrevida con cirugía a 5 años llega apenas al 1%. (5) Ello es debido a sus síntomas tardíos, a la consulta tardía dados los vagos síntomas iniciales, al desconocimiento del médico que retarda el diagnóstico y a la alta tasa de mortalidad con la cirugía. (6) La presentación clínica es a través de manifestaciones generales como astenia, • adelgazamiento, tromboflebitis migratoria y síntomas locales diferentes en el cáncer de cabeza y el cáncer de cuerpo y cola, dando ictericia, dolor y tumor palpable respectivamente. Es un desafío para los médicos realizar un diagnóstico más temprano. Así ante una • dispepsia que se acompaña de anemia o pérdida de peso, diabetes tipo II de aparición tardía en pacientes sin antecedentes familiares, debemos solicitar una ecografía y dosaje en sangre de los marcadores tumorales Ca 19-9.

In La Paz, there is one building desingned under the principles of the Panopticum typology. It is still working as jail eventhough it is located in La Paz city downtown. Lately there have been debates about what to do with this building once the jail is moved out. The article intends to defend the preservation of the structure not only due his age but its meaning.

Rev Argent …, 2010

2004

Reportamos un paciente varón de 58 años con lesiones clínicas de paniculitis pancreática. El diagnóstico fue realizado mediante la historia clínica, exámenes de laboratorio, biopsia de piel y con la necropsia se evidenció que era portador de un adenocarcinoma pancreático. La paniculitis pancreática es una entidad que debe ser identificada por el dermatólogo por las implicancias clínicas que conlleva.

La atopia es una condición hereditaria que predispone a padecer una serie de enfermedades, en su mayoría relacionadas con respuestas mediadas por IgE y alteraciones de la inmunidad celular y de la reactividad vascular.

Revista de la Escuela de Medicina Dr. José Sierra Flores. Universidad del Noreste, 2024

Introduction: Acute pancreatitis is an acute inflammatory process of the pancreas with variable involvement of other tissues. It is mentioned that 15 to 20% of the cases present severe symptoms that can put the patient's life at risk in the short and long term. Several parameters have been studied as prognostic severity factors in patients with acute pancreatitis. Objective: To determine the distribution of acute pancreatitis's most important severity factors. Methods: Retrospective, observational, descriptive, cross-sectional study. The data for the variables evaluated were obtained from the review of clinical histories. SPSS 25 software was used to see the population distribution with qualitative and quantitative variables. Results: We reviewed 67 clinical histories, of which 51 (76.1%) patients developed Mild Acute Pancreatitis (PAL) and 16 (23.9%) had Moderate or Severe Acute Pancreatitis (MAP or SAP). Most of them were of biliary origin, with 80.6%. There were no cases of MAP and SBP in <20 years, with the prevalence of PAL up to 34 years of age. The age of 35 years was determined as the cut-off point at which a greater number of cases of MAP and SBP were identified, reaching 45 years of age, where more cases of ALP were observed. The most frequently observed factors in PAM/PAS included age range 30 to 45 years, BUN 25.8±26.1, creatinine of 1.3±1.1, and APACHE score ≥ 8. Conclusions: The factors with the highest frequency found in severe acute pancreatitis were age 30 to 45 years, BUN of 25.8±26.1, creatinine of 1.3±1.1, and APACHE II score ≥ 8. Keywords: pancreatitis; APACHE; Prognosis; Severity.

Revista Catalana de Psicoanalisi

Se estudia la ansiedad desde el punto de vista kleiniano, recogiendo, en especial las ideas de Bion.

Introduction: it is important to make the physicians and pediatricians aware of the necessity of considering the possibility of acute pancreatitis in children who present abdominal pain. Case report: a two-year-old patient with symptoms of one day of evolution characterized by abdominal pain, vomiting and unquantified fever, with history of birth hospitalization because of neonatal sepsis and necrotizing enterocolitis treated with enteral nutrition and peritoneal dialysis due to have presented acute renal failure. At physical examination she was found stable, with pain, without dyspnea, with pain to the deep palpation in epigastrium and right hypochondrium without peritoneal irritation. The hemogram, ionogram and the renal proofs were normal. Elevated values of serum amylase were found. The diagnosis of acute pancreatitis was done and hydroelectrolytic management was initiated. The abdominal ultrasound and the abdominal computer tomography (CT) scan reported presence of calculi in the neck of the gallbladder without dilation of the tracts and discreet increase of the pancreas. The patient progressed in a favorable way with the medical management and she did not present complications. Conclusion: acute pancreatitis in children is a disease that has increased in frequency in the last years. The presence of two of three defined criteria allows to establish the diagnosis. Rev.cienc.biomed. 2014;5(2):341-344. KEYWORDS Cholelithiasis; Pancreatitis; Abdominal pain; Child; Pediatrics.