Correctly understanding and handling of severe acute pancreatitis complicated with intra-abdominal hypertension and abdominal compartment syndrome                 YANG Zhi-yong, WANG Chun-you. Pancreatic Disease Research Institute, Union Hospital, Tongji Medical College Huazhong University of Science and Technology, Wuhan430022，China
Correponding author: WANG Chun-you, E-mail: chunyouwang52@126.com
Abstract    Most of patients with severe acute pancreatitis (SAP) are complicated with intra-abdominal hypertension (IAH), and a few of them will progress to abdominal compartment syndrome (ACS) which is with very high mortality. ACS in SAP patients put up characteristic pathophysiological changes and clinical features. Doctors need distinguish between IAH and ACS, and then choose different therapeutic strategy. SAP complicated with IAH need not specific treatment. Intensive therapeutic efforts are necessary in SAP complicated with ACS. The decompressive laparotomy should be chosen cautiously to treat ACS in early stage of SAP. Delayed ACS in SAP patients usually get good outcome through the decompressive laparotomy because doctors can get rid of the etiological factors simultaneously.