A kutyák heveny hasnyálmirigy-gyulladásának korszeru gyógykezelése

Irodalmi összefoglaló

Translated title of the contribution: Up-to-date treatment of acute pancreatitis in dogs. Literature review

Papa Kinga, Vajdovich Péter, Sterczer Ágnes, Psáder Roland, K. Vörös

Research output: Contribution to journalArticle

Abstract

In the last decade the therapeutic guidelines of canine acute pancreatitis have significantly changed. The aim of this work is to provide a review on the recently accepted therapeutic principles. Early intensive therapy aiming at the complications is crucial in the management of severe acute pancreatitis. The treatment is based on the triad of fluid therapy, enteral nutrition and analgesia. The goal of the fluid therapy is to restore tissue perfusion, rehydration of the patient and the application of the maintenance fluid. Nutrition that fulfils energy requirement as well as ensures the "resting" of the pancreas is a vital part of the therapy. The best route of the nutrition is enteral feeding via jejunal tube. Abdominal pain can be relieved, especially with opioid drugs. Maropitant as a NK-1-receptor antagonist is suggested to alleviate vomitus. Broad spectrum antibiotic therapy is essential in systemic inflammation and septic complication. Pancreatic abscess, large pancreas necrosis and permanent extrahepatic biliary tract obstruction may indicate laparotomy. Abdominal surgery is suggested only if medical treatment has failed because of the considerable risk of anaesthesia.

Original languageHungarian
Pages (from-to)221-231
Number of pages11
JournalMagyar Allatorvosok Lapja
Volume134
Issue number4
Publication statusPublished - Apr 2012

Fingerprint

pancreatitis
Pancreatitis
fluid therapy
Dogs
therapeutics
dogs
Fluid Therapy
enteral feeding
pancreas
Enteral Nutrition
Pancreas
biliary tract
nutrition
Therapeutics
medical treatment
intestinal obstruction
laparotomy
narcotics
Neurokinin-1 Receptors
abscess

ASJC Scopus subject areas

  • veterinary(all)

Cite this

A kutyák heveny hasnyálmirigy-gyulladásának korszeru gyógykezelése : Irodalmi összefoglaló. / Kinga, Papa; Péter, Vajdovich; Ágnes, Sterczer; Roland, Psáder; Vörös, K.

In: Magyar Allatorvosok Lapja, Vol. 134, No. 4, 04.2012, p. 221-231.

Research output: Contribution to journalArticle

Kinga, Papa ; Péter, Vajdovich ; Ágnes, Sterczer ; Roland, Psáder ; Vörös, K. / A kutyák heveny hasnyálmirigy-gyulladásának korszeru gyógykezelése : Irodalmi összefoglaló. In: Magyar Allatorvosok Lapja. 2012 ; Vol. 134, No. 4. pp. 221-231.
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