Visão geral sobre o tratamento da pancreatite aguda: uma revisão integrativa da literatura.

Abstract

Objectives: Understand the specificities of acute pancreatitis treatment, addressing nutritional therapies, pharmacological treatment, supportive measures, and indications for surgical intervention. Methods: This consists of an integrative literature review with a final selection of 17 articles, covering the period from January 2015 to March 2023. Results: Pancreatitis is an inflammatory disease often triggered by gallstones and alcoholism, leading to episodes of abdominal pain. Treatment involves ensuring hemodynamic stability through multimodal analgesia, intravenous fluid administration, and nutritional therapy, with early oral nutrition as tolerated, and if not feasible, enteral and parenteral routes are indicated. Prophylactic use of antibiotic therapy is not recommended, only in cases of confirmed infection. The main surgical approaches are ERCP and cholecystectomy. Conclusion: An updated and personalized approach to pancreatitis treatment is indicated for all patients, aiming to improve clinical outcomes and reduce complications.