Hepato-pancreato-biliary emergencies for the acute care surgeon: etiology, diagnosis and treatment

World Journal of Emergency Surgery

Chad G Ball¹  Morad Hameed²  Jean M Butte¹ 

[1] Department of Surgery, Foothills Medical Center, University of Calgary, Calgary, AB, Canada;University of British Columbia, Vancouver, BC, Canada

关键词: Initial treatment;    Surgery;    Acute cholangitis;    Acute cholecystitis;    Pancreatitis;    Acute care surgeon;    Hepatopancreatobiliary;    Emergency surgery;   

Others  :  1140092
DOI  :  10.1186/s13017-015-0004-y

 received in 2014-11-11, accepted in 2015-02-02,  发布年份 2015

【 摘 要 】

Hepatopancreatobiliary (HPB) emergencies include an ample range of conditions with overlapping clinical presentations and diverse therapeutic options. The most common etiologies are related to cholelithiasis (acute cholecystitis, pancreatitis, and cholangitis) and non-traumatic injuries (common bile duct or duodenal). Although the true incidence of HPB emergencies is difficult to determine due to selection and reporting biases, a population-based report showed a decline in the global incidence of all severe complications of cholelithiasis, primarily based on a reduction in acute cholecystitis. Even though patients may present with overlapping symptoms, treatment options can be varied. The treatment of these conditions continues to evolve and patients may require endoscopic, surgical, and/or percutaneous techniques. Thus, it is essential that a multidisciplinary team of HPB surgeons, interventional gastroenterologists and radiologists are available on an as needed basis to the Acute Care Surgeon. This focused manuscript is a contemporary review of the literature surrounding HPB emergencies in the context of the acute care surgeon. The main aim of this review is to offer an update of the diagnosis and management of HPB issues in the acute care setting to improve the care of patients with potential HPB emergencies.

【 授权许可】

   
2015 Butte et al.; licensee BioMed Central.

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