Acute Pancreatitis Update of the Current Diagnostic and Therapeutic Approach

Abstract

: Introduction: The endocrine pancreas is responsible for producing digestive enzymes such as; lipases, proteases and amylases, which are responsible for the metabolism of fats, proteins and carbohydrates respectively for their absorption. Acute pancreatitis is an intracellular disorder of calcium in pancreatic cells, which can trigger necroinflammatory changes and local and systemic complications. Objectives: Carry out a bibliographic review to assess the level of scientific evidence that exists on visual screening to determine whether or not existing recommendations are adequate. Material and methods: Systematic review of scientific articles consulting the MedLine and The Cochrane Library Plus databases, without date restriction, in Spanish and English. Gray literature was included by manual search. No restrictions were made regarding the type of study. The abstracts and, where necessary, the complete articles are reviewed, finally taking into account all the articles that have recently received recommendations on visual acuity screening and eliminating the rest. Twenty-four bibliographies of articles related to the subject of pancreatitis were selected, performing a bibliographic review and using the most up-to-date information on the subject. Conclusions: Acute pancreatitis is a highly relevant condition for our environment due to its high incidence, the management of this pathology requires adequate knowledge of the underlying clinical and pathophysiological phenomenon of the patient. The correct diagnostic approach and optimal and timely therapeutic management favor a favorable outcome and are associated with fewer complications, morbidity, and mortality.