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[Acute pancreatitis in our case reports].

V Bedeković, R Orlić, J Ljumanović

    Acta Chirurgica Iugoslavica
    |January 1, 1977
    PubMed
    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.

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    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.

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