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Severe acute pancreatitis: pathogenesis, diagnosis and surgical management.


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Commento all’Editoriale a cura del Dott. Mario Baiamonte

L’articolo, consultabile integralmente anche in formato pdf nel sito della rivista, rappresenta una review comprendente un totale di 39 lavori pubblicati tra il gennaio 1991 e il dicembre 2015: 6 studi retrospettivi, 14 studi prospettici, 14 reviews sistematiche, 2 meta-analisi e 3 linee guida.

L’analisi del materiale bibliografico si focalizza su alcuni elementi fondamentali: epidemiologia e patogenesi, indicatori di severità e trattamento chirurgico della pancreatite necrotizzante. In particolare gli Autori, al termine dell’analisi e sulla base dei dati complessivi, rilevano come alla necrosectomia “open” sia oggi preferito un approccio mini-invasivo progressivo (step-up approach) con significativo miglioramento degli outcomes: morbilità e mortalità.




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