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Review Article
Online Published: 01 Dec 2024
 


Acute pancreatitis management, compare the results of non-aggressive versus aggressive intravenous hydration

Mazi Mohammed Alanazi, Abdulrahman Muteb Alharthi, Muath Owaidh Alosaimi, Ziyad Mohamed Alanazi, Abdulkarim Mekhlif Alanazi, Ziyad Mohammed Alhajeri, Mohammed Abdullah M. Al Shalwan, Mohammed Alhussain M. Asiri, Abdullah Dhahawi Alanazi, Mashael Ibrahim A. Almania, Fahad Hani Alshaer, Reem Awadh N. Alharbi.


Abstract
Acute pancreatitis (AP) is one of the most prevalent and dangerous gastrointestinal disorders that cause hospitalizations worldwide. In this comprehensive review of randomized control trials, the benefits and side effects of intravenous (IV) hydration treatment strategies for AP were reported and compared. This systematic review followed the preferred reporting items for systematic reviews and meta-analyses guidelines. The search was restricted to English-language papers and searched the Cochrane Library, PubMed, and Embase from the year 2017 to 2024 for relevant randomized control trials. Key terms were AP, normal saline, Lactated Ringer’s solution, hydration, and aggressive. Four publications were included in this systematic review. The aggressive IV hydration group did not exhibit any greater clinical improvement than the non-aggressive IV hydration group, according to two of the included articles, which comprised 104 patients with mild pancreatitis. Severe AP acute physiology and chronic health evaluation II (APACHE II) scores improved much more in the IV aggressive hydration group than in the non-aggressive group, according to the results of the included articles. Another research that included AP patients found that the vigorous IV hydration group had a greater incidence of sepsis compared to the IV non-aggressive hydration group. However, in the group receiving intensive IV hydration, only patients with severe pancreatitis had sepsis risk; those with a mild form of the disease did not. In both severe and mild AP, aggressive IV hydration raised the risk of fluid-related morbidity and mortality.

Key words: Acute pancreatitis, treatment, management, aggressive hydration, systemic review


 
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How to Cite this Article
Pubmed Style

Alanazi MM, Alharthi AM, Alosaimi MO, Alanazi ZM, Alanazi AM, Alhajeri ZM, Shalwan MAMA, Asiri MAM, Alanazi AD, Almania MIA, Alshaer FH, Alharbi RAN. Acute pancreatitis management, compare the results of non-aggressive versus aggressive intravenous hydration. IJMDC. 2024; 8(11): 3224-3229. doi:10.24911/IJMDC.51-1731122698

Web Style

Alanazi MM, Alharthi AM, Alosaimi MO, Alanazi ZM, Alanazi AM, Alhajeri ZM, Shalwan MAMA, Asiri MAM, Alanazi AD, Almania MIA, Alshaer FH, Alharbi RAN. Acute pancreatitis management, compare the results of non-aggressive versus aggressive intravenous hydration. https://www.ijmdc.com/?mno=227898 [Access: January 14, 2025]. doi:10.24911/IJMDC.51-1731122698

AMA (American Medical Association) Style

Alanazi MM, Alharthi AM, Alosaimi MO, Alanazi ZM, Alanazi AM, Alhajeri ZM, Shalwan MAMA, Asiri MAM, Alanazi AD, Almania MIA, Alshaer FH, Alharbi RAN. Acute pancreatitis management, compare the results of non-aggressive versus aggressive intravenous hydration. IJMDC. 2024; 8(11): 3224-3229. doi:10.24911/IJMDC.51-1731122698


Vancouver/ICMJE Style

Alanazi MM, Alharthi AM, Alosaimi MO, Alanazi ZM, Alanazi AM, Alhajeri ZM, Shalwan MAMA, Asiri MAM, Alanazi AD, Almania MIA, Alshaer FH, Alharbi RAN. Acute pancreatitis management, compare the results of non-aggressive versus aggressive intravenous hydration. IJMDC. (2024), [cited January 14, 2025]; 8(11): 3224-3229. doi:10.24911/IJMDC.51-1731122698


Harvard Style

Alanazi, M. M., Alharthi, . A. M., Alosaimi, . M. O., Alanazi, . Z. M., Alanazi, . A. M., Alhajeri, . Z. M., Shalwan, . M. A. M. A., Asiri, . M. A. M., Alanazi, . A. D., Almania, . M. I. A., Alshaer, . F. H. & Alharbi, . R. A. N. (2024) Acute pancreatitis management, compare the results of non-aggressive versus aggressive intravenous hydration. IJMDC, 8 (11), 3224-3229. doi:10.24911/IJMDC.51-1731122698


Turabian Style

Alanazi, Mazi Mohammed, Abdulrahman Muteb Alharthi, Muath Owaidh Alosaimi, Ziyad Mohamed Alanazi, Abdulkarim Mekhlif Alanazi, Ziyad Mohammed Alhajeri, Mohammed Abdullah M. Al Shalwan, Mohammed Alhussain M. Asiri, Abdullah Dhahawi Alanazi, Mashael Ibrahim A. Almania, Fahad Hani Alshaer, and Reem Awadh N. Alharbi. 2024. Acute pancreatitis management, compare the results of non-aggressive versus aggressive intravenous hydration. International Journal of Medicine in Developing Countries, 8 (11), 3224-3229. doi:10.24911/IJMDC.51-1731122698


Chicago Style

Alanazi, Mazi Mohammed, Abdulrahman Muteb Alharthi, Muath Owaidh Alosaimi, Ziyad Mohamed Alanazi, Abdulkarim Mekhlif Alanazi, Ziyad Mohammed Alhajeri, Mohammed Abdullah M. Al Shalwan, Mohammed Alhussain M. Asiri, Abdullah Dhahawi Alanazi, Mashael Ibrahim A. Almania, Fahad Hani Alshaer, and Reem Awadh N. Alharbi. "Acute pancreatitis management, compare the results of non-aggressive versus aggressive intravenous hydration." International Journal of Medicine in Developing Countries 8 (2024), 3224-3229. doi:10.24911/IJMDC.51-1731122698


MLA (The Modern Language Association) Style

Alanazi, Mazi Mohammed, Abdulrahman Muteb Alharthi, Muath Owaidh Alosaimi, Ziyad Mohamed Alanazi, Abdulkarim Mekhlif Alanazi, Ziyad Mohammed Alhajeri, Mohammed Abdullah M. Al Shalwan, Mohammed Alhussain M. Asiri, Abdullah Dhahawi Alanazi, Mashael Ibrahim A. Almania, Fahad Hani Alshaer, and Reem Awadh N. Alharbi. "Acute pancreatitis management, compare the results of non-aggressive versus aggressive intravenous hydration." International Journal of Medicine in Developing Countries 8.11 (2024), 3224-3229. Print. doi:10.24911/IJMDC.51-1731122698


APA (American Psychological Association) Style

Alanazi, M. M., Alharthi, . A. M., Alosaimi, . M. O., Alanazi, . Z. M., Alanazi, . A. M., Alhajeri, . Z. M., Shalwan, . M. A. M. A., Asiri, . M. A. M., Alanazi, . A. D., Almania, . M. I. A., Alshaer, . F. H. & Alharbi, . R. A. N. (2024) Acute pancreatitis management, compare the results of non-aggressive versus aggressive intravenous hydration. International Journal of Medicine in Developing Countries, 8 (11), 3224-3229. doi:10.24911/IJMDC.51-1731122698




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