PROBLEMS IN THE SURGICAL TREATMENT OF SEVERE ACUTE PANCREATITIS

Pancreas ◽  
2007 ◽  
Vol 35 (1) ◽  
pp. 88-89
Author(s):  
Yoshifumi Takeyama ◽  
Yasuyuki Kihara ◽  
Makoto Otsuki
Keyword(s):  
Acute Pancreatitis ◽  
Surgical Treatment ◽  
Severe Acute Pancreatitis

scholarly journals STRUCTURAL ANALYSIS OF CLINICAL AND LABORATORY AND INSTRUMENTAL DIAGNOSIS AND TREATMENT OF ACUTE PANCREATITIS

2021 ◽  
pp. 52-58
Author(s):  
M. I. Pokidko ◽  
T. V. Formanchuk ◽  
A. G. Sychevska ◽  
O. B. Tkachenko
Keyword(s):  
Acute Pancreatitis ◽  
Surgical Treatment ◽  
Severe Acute Pancreatitis ◽  
Abdominal Cavity ◽  
Early Period ◽  
Total Mortality ◽  
Infusion Therapy ◽  
Intravenous Contrast ◽  
Postoperative Pancreatitis ◽  
Overall Mortality

Summary. The purpose of the study: to analyze the causes of development, terms of hospitalization, the frequency of severe type, complications and overall mortality in acute pancreatitis according to the clinic data. Materials and methods: the results of treatment of 622 patients with acute pancreatitis were analyzed. Among them there were 336 women (54.1 %) and 286 men (45.9 %). The mean age of patients was (48.2 ± 2.2) years. The diagnosis of acute pancreatitis was made according to the recommendations (Atlanta, 2012). All patients with acute pancreatitis underwent ultrasound examination of the abdominal cavity and computed tomography, enhanced by intravenous contrast. Results and discussion: Etiological factors of acute pancreatitis were: biliary factor in 270 (43.4 %) patients, alcohol — in 155 (24.9 %), acute pancreatitis on the background of triglyceridemia — in 135 patients (21.7 %), 21 (3.4 %) patients had postoperative pancreatitis, medication — in 8 (1.3 %) patients and without a clear etiology — in 33 (5.3 %) patients. The terms of hospitalization of patients are as follows: after 24–48 hours from the onset of the disease — 215 (34.6 %) cases, after 6–24 hours after the onset of the disease — 204 (32.8 %) cases, after 48 hours and later from the time of the disease — 129 (20.7 %) cases and 74 (11.9 %) cases of hospitalization up to 6 hours from the onset of the disease. Severe acute pancreatitis developed in 147 (23.6 %) patients and was accompanied by the development of organ failure lasting > 48 hours. 594 (95.4 %) patients with acute pancreatitis received only conservative infusion therapy. 28 (4.5 %) patients required surgical treatment. The overall mortality in patients with acute pancreatitis was 9 (1.4 %) cases. Conclusions: Hyperdiagnosis of acute pancreatitis is a common problem in modern surgery. Formulation of the diagnosis according to the unified diagnostic criteria considerably facilitated diagnosis. The dominant factors of acute pancreatitis are biliary (43.4 %) and alcoholic factors (24.9 %). Most often (34.6 %) patients were admitted to the department on the second day after the onset of the disease. Remains high level of severe acute pancreatitis, which amounted to 23.6 % of cases. 594 (95.4 %) patients with acute pancreatitis received infusion therapy. 28 (4.5 %) patients underwent surgical treatment. The total mortality in acute pancreatitis according to our clinic was 9 (1.4 %) cases, the majority of them (7 patients) died in the early period of acute pancreatitis.

scholarly journals Surgical treatment of severe acute pancreatitis: After 15 years of practice

2015 ◽  
Vol 5 ◽  
pp. 74
Author(s):  
Jorge Pereira ◽  
Júlio Constantino ◽  
Liliana Duarte ◽  
Helena Pinho ◽  
Luis Pinheiro
Keyword(s):  
Acute Pancreatitis ◽  
Surgical Treatment ◽  
Severe Acute Pancreatitis

Surgical Treatment of Severe Acute Pancreatitis: Timing of Operation is Crucial for Survival

2003 ◽  
Vol 4 (2) ◽  
pp. 205-211 ◽  
Author(s):  
Peter Götzinger ◽  
Peter Wamser ◽  
Ruth Exner ◽  
Erhard Schwanzer ◽  
Raimund Jakesz ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Surgical Treatment ◽  
Severe Acute Pancreatitis ◽  
Timing Of Operation

Long-Term Results and Quality of Life of Patients Undergoing Sequential Surgical Treatment for Severe Acute Pancreatitis Complicated by Infected Pancreatic Necrosis

2006 ◽  
Vol 7 (supplement 2) ◽  
pp. s-113-s-116 ◽  
Author(s):  
Lorenza Cinquepalmi ◽  
Luigi Boni ◽  
Gianlorenzo Dionigi ◽  
Francesca Rovera ◽  
Mario Diurni ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Acute Pancreatitis ◽  
Surgical Treatment ◽  
Severe Acute Pancreatitis ◽  
Pancreatic Necrosis ◽  
Infected Pancreatic Necrosis ◽  
Long Term Results

Morbidity and mortality after surgical treatment of severe acute pancreatitis (SAP)

Pancreatology ◽  
2013 ◽  
Vol 13 (4) ◽  
pp. e6
Author(s):  
J. Busquets Barenys ◽  
N. Peláez Serra ◽  
L.L. Secanella Medayo ◽  
M. Darriba Fernández ◽  
K. Mills Julià ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Surgical Treatment ◽  
Severe Acute Pancreatitis ◽  
Morbidity And Mortality

Minimally invasive techniques in the treatment of severe acute pancreatitis

Open Medicine ◽  
2014 ◽  
Vol 9 (4) ◽  
pp. 580-587 ◽  
Author(s):  
Ignasi Poves ◽  
Fernando Burdío ◽  
Dimitri Dorcaratto ◽  
Luis Grande
Keyword(s):  
Acute Pancreatitis ◽  
Surgical Treatment ◽  
Minimally Invasive ◽  
Severe Acute Pancreatitis ◽  
Pancreatic Necrosis ◽  
High Rate ◽  
Multidisciplinary Teams ◽  
Laparoscopic Transperitoneal ◽  
Open Necrosectomy ◽  
Invasive Techniques

AbstractOpen necrosectomy, the standard surgical treatment of infected pancreatic necrosis (IPN), presents a high rate of postoperative complications and an associated mortality of 20–60%. In the last decade various minimally invasive approaches (MIA) have been proposed for the treatment of IPN and the results seem to improve on those reported with open necrosectomy. These MIA include: percutaneous, retroperitoneal, endoscopic (endoluminal) and laparoscopic (transperitoneal). The adoption of the step-up approach in the management of severe acute pancreatitis (SAP) facilitates the implementation of MIA as the surgical treatment of choice in most cases. Since MIA require the expertise of radiologists, endoscopists and surgeons, patients suffering SAP should be treated by multidisciplinary teams in referral centers. We describe the MIA currently available and discuss their advantages, disadvantages, and results.

Severe Acute Pancreatitis after Surgical Treatment of a Ruptured Abdominal Aortic Aneurysm

2009 ◽  
Vol 23 (6) ◽  
pp. 785.e5-785.e7 ◽  
Author(s):  
Mohammed Drissi ◽  
Mouhcine Madani ◽  
Abeddayem Hatim ◽  
Driss Ibat ◽  
Mohammed Athmani ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Abdominal Aortic Aneurysm ◽  
Surgical Treatment ◽  
Aortic Aneurysm ◽  
Severe Acute Pancreatitis ◽  
Ruptured Abdominal Aortic Aneurysm ◽  
Abdominal Aortic
Sign in / Sign up

Export Citation Format

Share Document