Resumen
Definición
Anamnesis y examen
Principales factores de diagnóstico
- presencia de factores de riesgo
- dolor abdominal
- náuseas y vómitos
- anorexia
- signos de hipovolemia
Otros factores de diagnóstico
- signo de Grey-Turner
- signo de Cullen
- signo de Fox
- signo de Chvostek
- hipotensión
- distensión abdominal
Factores de riesgo
- mujeres de mediana edad
- hombres jóvenes y de edad mediana
- cálculos biliares
- alcohol
- hipertrigliceridemia
- hipercalcemia
- uso de fármacos causales
- paperas
- virus Coxsackie
- Mycoplasma pneumoniae
- colangiopancreatografía retrógrada endoscópica (CPRE)
- traumatismo
- lupus eritematoso sistémico
- síndrome de Sjögren
- páncreas divisum
- cáncer de páncreas
- disfunción del esfínter de Oddi
- antecedentes familiares de pancreatitis
Pruebas diagnósticas
Primeras pruebas diagnósticas para solicitar
- lipasa y amilasa en suero
- aspartato aminotransferasa/alanina aminotransferasa
- hemograma completo (HC) y con diferencial
- proteína C-reactiva
- hematocrito
- gasometría arterial
- radiografía simple de abdomen
- radiografía del tórax (RT)
- ecografía transabdominal
- proporción de lipasa sérica:amilasa sérica
Pruebas diagnósticas que deben considerarse
- tomografía computarizada (TC) abdominal
- colangiopancreatografía por resonancia magnética (CPRM)
- ultrasonido endoscópico (UE)
Pruebas emergentes
- tripsinógeno-2 en orina
- interleucina-6 en suero
- interleucina-8 en suero
Algoritmo de tratamiento
Colaboradores
Autores
Associate Professor of Surgery
Department of Surgery
Indiana University
Indianapolis
IN
Divulgaciones
NJZ is an author of a reference cited in this topic.
Dr Nicholas J. Zyromski would like to gratefully acknowledge Dr Brian Daley, Dr Catherine Lindsay McKnight, and Dr Fernando Aycinena, previous contributors to this topic. He would also like to thank Dr Camille Blackledge for her contribution to this topic. BD, CLM, FA, and CB declare that they have no competing interests.
Revisores por pares
Assistant Professor of Medicine
Attending Physician and Director of Research
Columbia University Medical Center
New York
NY
Divulgaciones
TAG declares that he has no competing interests.
Harvard Medical Faculty Physician
Division of Gastroenterology
Beth Israel Deaconess Medical Center
Boston
MA
Divulgaciones
AM declares that he has no competing interests.
Consultant Hepatobiliary & Pancreatic Surgeon
Department of Surgery
North Manchester General Hospital
Manchester
UK
Divulgaciones
DOR is an author of a reference cited in this topic. He declares that he has no other competing interests.
Professor
Department of Surgery
Division General Surgery
Shands Jacksonville Medical Center
FL
Divulgaciones
At the time of the peer review, Dr E. Frykberg declared no competing interests. We were made aware that Dr Frykberg is now deceased.
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