[Short-term survival in severe acute pancreatitis. Role of peritoneal lavage and conservative surgery].
We evaluated the results of peritoneal lavage and conservative surgery in 64 consecutive patients with severe acute pancreatitis, 73.4% of patients had associated cholelithiasis. Early resective surgery, specially in patients with necro-hemorrhagic pancreatitis and respiratory failure, was associated to a high mortality. Peritoneal lavage was started earlier in survivors and was effective in decreasing pain and amylase levels, but not in correcting hypoxemia. 29% of patients died in shock, which developed early and was mostly toxic in patients older than 50 as opposed to septic in younger patients. Actuarial survival rate was 50% at 1 month. Poor risk factors included admission after 48 hr, resective surgery, age greater than 50 years and failure to use peritoneal lavage.
Videla
C
C
Cenitagoya
G
G
Bergh
C
C
Caimi
L
L
D000206:Actuarial Analysis; D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000401:mortality* / Q000601:surgery / Q000628:therapy; D010533:Peritoneal Lavage; D011379:Prognosis; D011446:Prospective Studies
Sobrevida a corto plazo en la pancreatitis aguda grave. Rol del lavado peritoneal y la cirugía conservadora.