[Indications for surgical intervention in acute pancreatitis]

The authors analyze in detail a group of 48 patients treated on account of acute pancreatitis in 1988. As regards the severity and prognosis of the disease, they divide it according to the Mainzer classification into three groups. The first mildest one was not subjected to acute operation. Serious cases in group 2 and 3 called in a total of 22 cases for operation. The authors discuss in detail indications for surgical intervention from four basic aspects: laboratory findings, ultrasonographic and CT examination, the clinical picture and character of the exudate in the abdominal cavity. It is essential to evaluate in a comprehensive way all symptoms and the dynamics of their development, in particular, however, the clinical picture of the disease. The possible lack of of some paraclinical examinations (ultrasonography, CT) must not play a decisive role for the indication.