Acute and subacute pancreatitis. Role of surgery and endoscopic retrograde cholangiopancreatography.
Arch Surg
; 115(4): 552-6, 1980 Apr.
Article
en En
| MEDLINE
| ID: mdl-7362468
Six of seven patients with acute pancreatitis who were intractable to prolonged medical therapy underwent successful endoscopic retrograde cholangiopancreatography (ERCP) followed by immediate operative therapy. All of these patients had surgically correctable lesions consistent with chronic pancreatitis. There was one associated mortality and no morbidity. The conditions of the surviving six patients were significantly improved in the immediate postoperative period, and long-term follow-up has been encouraging. Pancreaticojejunostomy and conservative resection appeared to have good results. The timing of the operation immediately after ERCP in patients with acute pancreatic pathology eliminated problems with exacerbation or sepsis. Patients whose clinical conditions do not improve with aggressive medical therapy for acute pancreatitis may have both chronic and acute disease that is amenable to operative therapy.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Pancreatitis
Tipo de estudio:
Diagnostic_studies
Límite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Arch Surg
Año:
1980
Tipo del documento:
Article
Pais de publicación:
Estados Unidos