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Severe acute pancreatitis: results of treatment
Franz Robert Apodaca-Torrez1, Edson José Lobo, Lilah Maria Carvas Monteiro
1Surgical Gastroenterology, Department of Surgery, São Paulo School of Medicine, UNIFESP, Brazil. apodaca@uol.com.br
Objective:
To evaluate the results of the Protocol for treatment of patients with severe acute pancreatitis.
Methods:
We consecutively analyzed age, gender, etiology, length of hospital stay, type of treatment and mortality of 37 patients with severe acute pancreatitis from January 2002.
Results:
The patients' ages ranged from 20 to 88 years (average 50 years), 27% were female and 73% male. Mean overall hospital stay was 47 days. Thirteen patients were treated surgically, the average operations per patient was two. There were six deaths among patients undergoing surgical treatment (46%) and two deaths in the group submitted to medical treatment alone (8.3%). The overall mortality was 21%.
Conclusion:
After modification in the form of management of patients with severe acute pancreatitis, there was a decrease in mortality and a trend for conservative management.
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