[Colonic complications associated with acute necrotizing pancreatitis]

Authors found colonic involvement in 9 cases of the 83 patients who have undergone surgical procedure for acute pancreatitis (10.8%). The form of the complications were inoperable extensive necrosis in two, resectable isolated necrosis in four and colo-cutaneous fistula in three cases. Acute extrapancreatic fat necrosis usually caused segmental necrosis of the colon while abscess generally led to fistulization. Complications based rather on ischaemic damage of mesocolon than direct enzymatic influence. Five patients died. Analysing this late, severe involvement, which appeared average on 18-th day, authors try to find relationships between pathomechanism, therapy and mortality rate.