Recovery from respiratory failure after decompression laparotomy for severe acute pancreatitis

• 作 者: Sylvia Siebig Igors Iesalnieks Tanja Bruennler Christine Dierkes Julia Langgartner Juergen Schoelmerich Christian E Wrede
• 机 构: Department of Internal Medicine I,University of Regensburg,Regensburg D-93042,Germany,Department of
• 出 处: World Journal of Gastroenterology
• 发表日期: 2008年35期
• 关键词: decompression laparotomy ventilation protective compartment recover resuscitatio

We present three cases of patients (at the age of 56 years, 49 years and 74 years respectively) with severe acute pancreatitis (SAP), complicated by intra-abdominal compartment syndrome (ACS) and respiratory insufficiency with limitations of mechanical ventilation. The respiratory situation of the patients was significantly improved after decompression laparotomy (DL) and lung protective ventilation was re-achieved. ACS was discussed followed by a short review of the literature. Our cases show that DL may help patients with SAP to recover from severe respiratory failure.

We present three cases of patients (at the age of 56 years, 49 years and 74 years respectively) with severe acute pancreatitis (SAP), complicated by intra-abdominal compartment syndrome (ACS) and respiratory insufficiency with limitations of mechanical ventilation. The respiratory situation of the patients was significantly improved after decompression laparotomy (DL) and lung protective ventilation was re-achieved. ACS was discussed followed by a short review of the literature. Our cases show that DL may help patients with SAP to recover from severe respiratory failure .