[Arguments for a revised concept in the therapy of acute pancreatitis. On the indications for conservative, endoscopic and surgical procedures].
From January 1, 1973 to October 31, 1987 we treated 271 patients suffering from acute pancreatitis at the Department of General Surgery at the University Münster, Westphalia. 159 (58.7%) presented with stage I, 75 (27.7%) with stage II, and 39 (13.6%) with stage III disease according to the Mainz classification for acute pancreatitis. In 147 cases an endoscopic sphincterotomy (EST) was performed. At a low method-specific morbidity (5.4%) we observed a mortality rate of 0% for stage I, 8% for stage II, and 22% for stage III. Altogether, a mortality rate of 13.3% was calculated for the necrotizing forms of acute pancreatitis after EST, compared to 36.5% for a conventionally (conservative therapy, operation) treated group.
Sulkowski
U
U
Klinik und Poliklinik für Allgemeine Chirurgie, Westfälischen Wilhelms-Universität Münster.
Meyer
J
J
Kautz
G
G
Bünte
H
H
D000208:Acute Disease; D014670:Ampulla of Vater / Q000601:surgery*; D002763:Cholecystectomy / Q000379:methods; D002769:Cholelithiasis / Q000601:surgery; D003138:Common Bile Duct Neoplasms / Q000601:surgery; D004322:Drainage / Q000379:methods; D004724:Endoscopy / Q000379:methods*; D005260:Female; D042882:Gallstones / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D010180:Pancreatectomy / Q000379:methods*; D010195:Pancreatitis / Q000601:surgery*; D011183:Postoperative Complications / Q000401:mortality
Argumente für ein abgewandeltes Konzept in der Therapie der akuten Pankreatitis. Zur Indikation konservativer, endoskopischer und chirurgischer Verfahren.