[Treatment experiences with acute pancreatitis]

Area of Science:

• Gastroenterology
• Surgical Gastroenterology
• Critical Care Medicine

Context:

• Acute pancreatitis is a serious condition requiring effective management strategies.
• A 17-year study analyzed treatment outcomes for 1003 patients.
• Evaluating the efficacy of early complex intensive conservative treatment versus surgical intervention.

Purpose:

• To assess the effectiveness of early complex intensive conservative treatment for acute pancreatitis.
• To determine the outcomes and lethality associated with surgical interventions in severe cases.
• To analyze the overall mortality rates in a large cohort of acute pancreatitis patients.

Summary:

• Early complex intensive conservative treatment was effective in 87.3% of 1003 acute pancreatitis patients, with no associated mortality.
• Surgery was performed in 12.7% of patients with severe pancreatitis, including pancreatonecrosis and purulent pancreatitis.
• Surgical interventions, primarily drainage procedures, had a postoperative lethality of 24%, and 30% for pancreatonecrosis/purulent pancreatitis.

Impact:

• Demonstrates the high success rate of conservative management in acute pancreatitis.
• Highlights the significant risks associated with surgical intervention in severe acute pancreatitis.
• Provides valuable data on overall mortality and treatment strategies for acute pancreatitis.