[Acute pancreatitis. The classification of its severity by dynamic pancreatography and the results of surgical treatment].
In acute pancreatitis determination of glandular necrosis has been difficult because of the lack of an objective method; with dynamic enhanced tomography (bolus injection of contrast media) we have reasonably classify 28 patients with acute pancreatitis. With this technique 5 grades of sequelae of acute pancreatitis are identified: I. Non complicated acute pancreatitis; II. pancreatic abscess: III. peripancreatic necrosis; IV. less than 50% pancreatic necrosis and V. more than 50% pancreatic necrosis. A 100% correlation was found between tomography and surgical findings. This is the first report in Mexico of this method to identify pancreatic or peripancreatic necrosis; we also present the surgical results with a programmed pancreatic debridation; mortality has decreased form 80 to 31.9% in our hospital in recent years.
Mier
J
J
Servicio de Cirugía Gastrointestinal, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, IMSS.
Blanco
R
R
Rodríguez
J
J
Quijano
F
F
Robledo
F
F
D000208:Acute Disease; D000328:Adult; D005260:Female; D006801:Humans; D008297:Male; D008800:Mexico / Q000453:epidemiology; D009336:Necrosis; D010179:Pancreas / Q000000981:diagnostic imaging / Q000473:pathology; D010180:Pancreatectomy; D010195:Pancreatitis / Q000145:classification* / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery; D011446:Prospective Studies; D012720:Severity of Illness Index; D014057:Tomography, X-Ray Computed
Pancreatitis aguda. Clasificación de la severidad con pancreatografía dinámica y resultados del tratamiento quirúrgico.