ROBERT SPIERER, M.D.
To the editor: The article "Acute Respiratory Distress Syndrome in Pancreatitis," by Interiano, Stuard, and Hyde in the December 1972 issue (pp. 923-926), raises some interesting points. Despite evidence presented by the authors against pulmonary edema as a mechanism, some of the nine patients with diffuse bilateral alveolar infiltrates may indeed have had pulmonary edema.
Since the mainstay of treatment for acute pancreatitis is administration of large amounts of intravenous fluids, and since eight of the nine patients developed this syndrome 2 to 7 days after admission, fluid overload leading to pulmonary edema deserves some consideration. Information such as electrocardiograms,
SPIERER R. The Lungs and Pancreatitis. Ann Intern Med. ;78:788–790. doi: 10.7326/0003-4819-78-5-788
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Published: Ann Intern Med. 1973;78(5):788-790.
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