The surgical treatment and prognosis of acute pancreatitis AKUT PANKREATITTE CERRAHI TEDAVI VE PROGNOZ

Bilgin O., Erverdi N., BENGİSUN U., ALAÇAYIR İ., ARAS N.

Turkish Journal of Gastroenterology, cilt.7, sa.3, ss.244-247, 1996 (SCI-Expanded) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 7 Sayı: 3
  • Basım Tarihi: 1996
  • Dergi Adı: Turkish Journal of Gastroenterology
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.244-247
  • Anahtar Kelimeler: Open abdomen, Pancreatitis, Surgical management
  • Ankara Üniversitesi Adresli: Evet

Özet

One of the most serious disorders in acute abdomen syndrome is acute pancreatitis (AP). The overall mortality rate from AP in recent years has been 10 to 15 percent. The precise diagnosis is the first step in treatment of AP which is very important. The records of 45 patients with AP between 1990-1994 were retrospectively analyzed to determine the role of different managements in AP. All patients were evaluated by using Ranson's signs to classify the severity of AP. Gallstone was the most common cause of AP (42.2%). Twenty patients underwent various surgical procedures including cholecystectomy, choledochotomy and debridement of pancreatic necrosis. Five patients with pancreatic abcess or necrotizing pancreatitis had 5 or more of Ranson's signs. These patients underwent open abdomen procedure without mortality. Our results indicate that early surgical intervention including open abdomen and repeated debridement reduces the severity and mortality of AP in patients with pancreatic abcess or necrosis.