Vitalijus Eismontas
Abstract
Summary
Background. Severe acute pancreatitis is a disease that causes malfunction of the pancreas and other organ functions. Acute pancreatitis according to occupy takes third place after appendicitis and acute cholecystitis between acute abdominal diseases. It is well-known disease testing and treatment algorithms, but conduction of severe acute pancreatitis in the prediction and treatment still poses many challenges, and the mortality remains high enough.
Thus, the goal of the present article is to explore the patients treated for severe acute pancreatitis in Klaipėda University Hospital and to compare it with the data presented in the literature.
Patients and methods. The medical documentation of 363 patients who underwent treatment for acute pancreatitis in Klaipėda University hospital within the years 2005-2009 have been investigated by the retrospective method.
Severe acute pancreatitis was diagnosed referring to the clinical data, biochemical blood tests, abdominal ultrasound and computed tomography (CT) examination with intravenous contrast data. Patients who develop infected pancreatic necrosis, pancreatic abscess and the development of septic complications were operated on.
Results. Alcohol is the main cause of acute pancreatitis. The mild pancreatitis was diagnosed for two-thirds of patients and severe acute pancreatitis was diagnosed for one-third of patients.
Half of patients with necrotic pancreatitis pancreatic necrosis did not exceed 30%. One- third of patients with severe acute pancreatitis were operated on. 29 patients with severe acute pancreatitis died.
Conclusion. The treatment of patients with severe acute pancreatitis in Klaipėda University hospital is the same as standarts of the general treatment of severe acute pancreatitis.
These results are consistent with literature data in patients with severe acute pancreatitis
Keyword(s): severe acute pancreatitis, pancreatic necrosis, surgical treatment.
DOI: 10.5200/110
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