Should we perform decompressive laparotomy during severe acute pancreatitis with intra-abdominal hypertension below 25 mmHg:Only the gut knows  

作　　者：Thibault Vieille Melissa Crotet Celia Turco Paul Monasterolo Hadrien Winiszewski Gael Piton 

机构地区：[1]Medical Intensive Care Unit,Besancon University Hospital,Besancon 25000,France [2]Intensive Care Unit,Vesoul Hospital,Vesoul 70000,France [3]Department of Digestive Surgical Oncology-Liver Transplantation Unit,Besancon University Hospital,Besancon 25000,France [4]Inserm UMRS-938,Centre de Recherche Saint-Antoine(CRSA),Sorbonne Université,Paris 10041NY212,France [5]Intensive Care Unit,Nord Franche Comte Hospital,Trevenans 90400,France

出　　处：《World Journal of Gastrointestinal Surgery》2024年第5期1470-1473,共4页世界胃肠外科杂志（英文版）（电子版）

摘　　要：We suggest that during severe acute pancreatitis(SAP)with intra-abdominal hypertension,practitioners should consider decompressive laparotomy,even with intra-abdominal pressure(IAP)below 25 mmHg.Indeed,in this setting,non-occlusive mesenteric ischemia(NOMI)may occur even with IAP below this cutoff and lead to transmural necrosis if abdominal perfusion pressure is not promptly restored.We report our experience of 18 critically ill patients with SAP having undergone decompressive laparotomy of which one third had NOMI while IAP was mostly below 25 mmHg.

关 键 词：Acute pancreatitis Abdominal compartment syndrome Decompressive laparotomy Mesenteric ischemia Intra-abdominal pressure Abdominal perfusion pressure 

分 类 号：R576[医药卫生—消化系统] R563.1[医药卫生—内科学]