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[Acute pancreatitis in our case reports].
Acta Chirurgica Iugoslavica
|January 1, 1977
Summary
This study on acute pancreatitis found biliary tract issues were the most common cause. While 17.1% mortality was observed, choledochoduodenostomy showed promise for specific cases.
Area of Science:
- Gastroenterology
- Surgical Pathology
Context:
- Retrospective analysis of 164 acute pancreatitis cases treated between 1963-1974 at a military hospital.
- Diagnosis involved anamnesis, clinical evaluation, laboratory tests, and imaging (X-rays).
Purpose:
- To analyze the etiology, treatment modalities, and outcomes of acute pancreatitis.
- Evaluate the effectiveness of surgical interventions, including choledochoduodenostomy.
Summary:
- Biliary tract disease was the primary etiology (72.5%), followed by obesity and alcoholism.
- 72 patients underwent surgery, 92 received conservative treatment. Indications for surgery included gallstones, cholecystitis, and diagnostic uncertainty.
- Choledochoduodenostomy was performed in 23 cases with biliary obstruction and serous pancreatitis, yielding satisfactory results.
- The overall mortality rate was 17.1% (28 deaths).
Impact:
- Highlights the significant role of biliary tract disease in acute pancreatitis.
- Demonstrates the utility of choledochoduodenostomy in specific complex cases.
- Provides historical data on acute pancreatitis management and outcomes.