[Experiences in improving prognosis of acute necrotizing pancreatitis]

Seventy-eight cases of acute necrotizing pancreatitis were analysed. Mortality varied with: timing of operation (14.3% after 5 days vs. 37.9% within 5 days), procedure (16.7% after necrosectomy vs. 44.4% after partial pancreatectomy) and nutritional support (15.0% with nutritional support vs. 50.0% without). Univariate (Chi-square test) and multivariate analyses (Logistic regression analysis showed correlation between each variable (timing of operation, procedure and nutritional support) and survival. It is felt that delayed necrosectomy with intraabdominal lavage, and early nutritional support may help to improve prognosis of this disease.