{"id":8652,"date":"2015-05-26T14:48:19","date_gmt":"2015-05-26T12:48:19","guid":{"rendered":"https:\/\/dev.93-93-113-41.plesk.page\/?page_id=8652"},"modified":"2024-02-26T17:11:39","modified_gmt":"2024-02-26T16:11:39","slug":"pancreatitis-aguda","status":"publish","type":"page","link":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/pancrees-i-vies-biliars\/pancreatitis-aguda\/","title":{"rendered":"Pancreatitis Aguda"},"content":{"rendered":"

La Pancreatitis Aguda \u00e9s una inflamaci\u00f3 brusca del p\u00e0ncrees provocada per l’activaci\u00f3, dins el mateix \u00f2rgan, dels enzims que aquest produeix per fer possible la digesti\u00f3 (habitualment s\u00f3n transportades pel conducte pancre\u00e0tic que passa al seu trav\u00e9s fins a l’intest\u00ed).<\/p>\n

Les causes m\u00e9s freq\u00fcents s\u00f3n les pedres (tamb\u00e9 anomenades c\u00e0lculs) a la ves\u00edcula biliar que es mouen cap al conducte biliar, i embussen la sortida del p\u00e0ncrees cap a l’intest\u00ed, aix\u00ed com el consum excessiu d’alcohol per efecte t\u00f2xic directe.<\/p>\n

Altres causes menys habituals s\u00f3n alguns medicaments, un augment important dels nivells de triglic\u00e8rids o calci en sang, obstruccions de la sortida del conducte del p\u00e0ncrees, i en algun cas, la realitzaci\u00f3 d’un procediment diagn\u00f2stic-terap\u00e8utic anomenat colangiopancreatografia retr\u00f2grada endosc\u00f2pica (CPRE ).<\/p>\n

Fins en un 20% dels pacients la causa \u00e9s desconeguda (pancreatitis aguda idiop\u00e0tica), dels quals habitualment nom\u00e9s un 5% pateix un nou episodi de pancreatitis.<\/p>\n

Sol manifestar-se com un dolor intens i continu en la part superior de l’abdomen, amb freq\u00fc\u00e8ncia irradiat a l’esquena, a m\u00e9s de n\u00e0usees i v\u00f2mits.<\/p>\n

Es diagnostica habitualment mitjan\u00e7ant l’an\u00e0lisi dels enzims pancre\u00e0tics en sang (elevaci\u00f3 d’amilasa i lipasa). En alguns casos s\u00f3n normals i pot ser necessari realitzar un esc\u00e0ner (TC) de l’abdomen.<\/p>\n

Aquesta prova \u00e9s a m\u00e9s adequada per valorar posteriorment la gravetat de la inflamaci\u00f3 del p\u00e0ncrees (necrosi) i altres complicacions abdominals. L’Ecografia abdominal permet veure l’exist\u00e8ncia de c\u00e0lculs a la ves\u00edcula i la Resson\u00e0ncia Magn\u00e8tica permet descartar-ho en el col\u00e8doc. La Ecoendosc\u00f2pia<\/a> (ultrasonografia endosc\u00f2pica) \u00e9s molt \u00fatil per valorar millor el p\u00e0ncrees i detectar c\u00e0lculs biliars no vistos amb altres proves d’imatge.<\/p>\n

En els casos greus poden apar\u00e8ixer complicacions que afecten al p\u00e0ncrees (necrosi i infecci\u00f3 de la mateixa) i d’altres \u00f2rgans a dist\u00e0ncia, sobretot ronyons, pulm\u00f3 i cor. Despr\u00e9s d’unes setmanes poden formar-se “bosses” a l’abdomen que contenen l\u00edquid inflamatori i que es diuen pseudoquistes, que poden fer mal o infectar-se (produint-se un absc\u00e9s), trencar-se i sagnar o obstruir el tub digestiu.<\/p>\n

La majoria de vegades la inflamaci\u00f3 \u00e9s lleu i la recuperaci\u00f3 \u00e9s completa en aproximadament una setmana.<\/p>\n

En canvi, en un 20% \u00e9s greu i hi ha un risc de morir de fins al 20%.<\/p>\n

El tractament es realitza mitjan\u00e7ant ingr\u00e9s hospitalari i consisteix a no donar aliments per boca, administrar abundants l\u00edquids per vena i medicaments per calmar el dolor i els v\u00f2mits. En els casos greus es necessita una vigil\u00e0ncia estreta en una unitat de cures intensives, aix\u00ed com antibi\u00f2tics i alimentaci\u00f3 per una sonda col\u00b7locada a l’intest\u00ed a trav\u00e9s del nas (nutrici\u00f3 enteral) o, si no fos possible, per vena (nutrici\u00f3 parenteral) .<\/p>\n

De vegades \u00e9s necessari realitzar tractament de col\u00b7leccions abdominals mitjan\u00e7ant Ecoendosc\u00f2pia<\/a> i si no \u00e9s possible, mitjan\u00e7ant cirurgia.<\/p>\n

La Colangiopancreatografia retr\u00f2grada endosc\u00f2pica (CPRE) pot ser necess\u00e0ria per extreure c\u00e0lculs encallats en el col\u00e8doc.<\/p>\n

Despr\u00e9s d’un episodi de pancreatitis aguda s’ha de tractar la causa sempre que sigui possible: evitar el consum d’alcohol, extirpar la ves\u00edcula (colecistectomia) si hi ha pedres en el seu interior, retirar certs medicaments si el seu metge pensa que van ser la causa, o tractament espec\u00edfic de l’elevaci\u00f3 de triglic\u00e8rids en sang (hipertriglicerid\u00e8mia) o de calci (hipercalc\u00e8mia). Si no es coneix la causa, pot ser necessari realitzar altres proves com una Ecoendosc\u00f2pia<\/a>, un Resson\u00e0ncia Magn\u00e8tica o un CPRE per intentar aconseguir el diagn\u00f2stic.<\/p>\n

\u00c9s important que en cas de presentar els s\u00edmptomes aguts intensos descrits anteriorment, el pacient acudeixi inicialment a un centre m\u00e8dic d’urg\u00e8ncia. Despr\u00e9s de la seva confirmaci\u00f3, haur\u00e0 de ser at\u00e8s per un servei m\u00e8dic especialitzat per determinar les causes, seleccionar el millor tractament, a m\u00e9s d’establir el control i seguiment apropiat en cada cas individual.<\/p>\n","protected":false},"excerpt":{"rendered":"

La Pancreatitis Aguda \u00e9s una inflamaci\u00f3 brusca del p\u00e0ncrees provocada per l’activaci\u00f3, dins el mateix \u00f2rgan, dels enzims que aquest produeix per fer possible la digesti\u00f3 (habitualment s\u00f3n transportades pel conducte pancre\u00e0tic que passa al […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"parent":7817,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-8652","page","type-page","status-publish"],"yoast_head":"\nPancreatitis Aguda - Servidigest<\/title>\n<meta name=\"description\" content=\"Pancreatitis Aguda\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/pancrees-i-vies-biliars\/pancreatitis-aguda\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pancreatitis Aguda - Servidigest\" \/>\n<meta property=\"og:description\" content=\"Pancreatitis Aguda\" \/>\n<meta property=\"og:url\" content=\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/pancrees-i-vies-biliars\/pancreatitis-aguda\/\" \/>\n<meta property=\"og:site_name\" content=\"Servidigest\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/servidigest\" \/>\n<meta property=\"article:modified_time\" content=\"2024-02-26T16:11:39+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@servidigest\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/pancrees-i-vies-biliars\/pancreatitis-aguda\/\",\"url\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/pancrees-i-vies-biliars\/pancreatitis-aguda\/\",\"name\":\"Pancreatitis Aguda - Servidigest\",\"isPartOf\":{\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#website\"},\"datePublished\":\"2015-05-26T12:48:19+00:00\",\"dateModified\":\"2024-02-26T16:11:39+00:00\",\"description\":\"Pancreatitis Aguda\",\"breadcrumb\":{\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/pancrees-i-vies-biliars\/pancreatitis-aguda\/#breadcrumb\"},\"inLanguage\":\"ca\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/pancrees-i-vies-biliars\/pancreatitis-aguda\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/pancrees-i-vies-biliars\/pancreatitis-aguda\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Serveis M\u00e8dics de Cl\u00ednica ServiDigest\",\"item\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/servicios\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Aparell digestiu\",\"item\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/servicios\/aparato-digestivo\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"P\u00e0ncrees i Vies Biliars\",\"item\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/servicios\/aparato-digestivo\/pancreas-y-vias-biliares\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Pancreatitis Aguda\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#website\",\"url\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/\",\"name\":\"Servidigest\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"ca\"},{\"@type\":\"Organization\",\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#organization\",\"name\":\"Servidigest\",\"url\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"ca\",\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#\/schema\/logo\/image\/\",\"url\":\"https:\/\/dev.93-93-113-41.plesk.page\/wp-content\/uploads\/2024\/01\/servidigest.png\",\"contentUrl\":\"https:\/\/dev.93-93-113-41.plesk.page\/wp-content\/uploads\/2024\/01\/servidigest.png\",\"width\":808,\"height\":88,\"caption\":\"Servidigest\"},\"image\":{\"@id\":\"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#\/schema\/logo\/image\/\"},\"sameAs\":[\"https:\/\/www.facebook.com\/servidigest\",\"https:\/\/x.com\/servidigest\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Pancreatitis Aguda - Servidigest","description":"Pancreatitis Aguda","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/pancrees-i-vies-biliars\/pancreatitis-aguda\/","og_locale":"ca_ES","og_type":"article","og_title":"Pancreatitis Aguda - Servidigest","og_description":"Pancreatitis Aguda","og_url":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/pancrees-i-vies-biliars\/pancreatitis-aguda\/","og_site_name":"Servidigest","article_publisher":"https:\/\/www.facebook.com\/servidigest","article_modified_time":"2024-02-26T16:11:39+00:00","twitter_card":"summary_large_image","twitter_site":"@servidigest","twitter_misc":{"Est. reading time":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/pancrees-i-vies-biliars\/pancreatitis-aguda\/","url":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/pancrees-i-vies-biliars\/pancreatitis-aguda\/","name":"Pancreatitis Aguda - Servidigest","isPartOf":{"@id":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#website"},"datePublished":"2015-05-26T12:48:19+00:00","dateModified":"2024-02-26T16:11:39+00:00","description":"Pancreatitis Aguda","breadcrumb":{"@id":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/pancrees-i-vies-biliars\/pancreatitis-aguda\/#breadcrumb"},"inLanguage":"ca","potentialAction":[{"@type":"ReadAction","target":["https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/pancrees-i-vies-biliars\/pancreatitis-aguda\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/serveis\/aparell-digestiu\/pancrees-i-vies-biliars\/pancreatitis-aguda\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Serveis M\u00e8dics de Cl\u00ednica ServiDigest","item":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/servicios\/"},{"@type":"ListItem","position":2,"name":"Aparell digestiu","item":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/servicios\/aparato-digestivo\/"},{"@type":"ListItem","position":3,"name":"P\u00e0ncrees i Vies Biliars","item":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/servicios\/aparato-digestivo\/pancreas-y-vias-biliares\/"},{"@type":"ListItem","position":4,"name":"Pancreatitis Aguda"}]},{"@type":"WebSite","@id":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#website","url":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/","name":"Servidigest","description":"","publisher":{"@id":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"ca"},{"@type":"Organization","@id":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#organization","name":"Servidigest","url":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/","logo":{"@type":"ImageObject","inLanguage":"ca","@id":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#\/schema\/logo\/image\/","url":"https:\/\/dev.93-93-113-41.plesk.page\/wp-content\/uploads\/2024\/01\/servidigest.png","contentUrl":"https:\/\/dev.93-93-113-41.plesk.page\/wp-content\/uploads\/2024\/01\/servidigest.png","width":808,"height":88,"caption":"Servidigest"},"image":{"@id":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/servidigest","https:\/\/x.com\/servidigest"]}]}},"_links":{"self":[{"href":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/wp-json\/wp\/v2\/pages\/8652","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/wp-json\/wp\/v2\/comments?post=8652"}],"version-history":[{"count":1,"href":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/wp-json\/wp\/v2\/pages\/8652\/revisions"}],"predecessor-version":[{"id":34900,"href":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/wp-json\/wp\/v2\/pages\/8652\/revisions\/34900"}],"up":[{"embeddable":true,"href":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/wp-json\/wp\/v2\/pages\/7817"}],"wp:attachment":[{"href":"https:\/\/dev.93-93-113-41.plesk.page\/ca\/wp-json\/wp\/v2\/media?parent=8652"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}