Open AccessRecovery from respiratory failure after decompression laparotomy for severe acute pancreatitis
Author(s) -
Sylvia Siebig,
Igors Iesalnieks,
Tanja Bruennler,
Christine Dierkes,
Julia Langgartner,
Juergen Schöelmerich,
Christian Wrede
Publication year - 2008
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.14.5467
Subject(s) - medicine , laparotomy , respiratory failure , decompression , acute pancreatitis , abdominal compartment syndrome , respiratory system , mechanical ventilation , pancreatitis , surgery , ards , ventilation (architecture) , lung , anesthesia , abdomen , mechanical engineering , engineering
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.