Postoperative pancreatitis after biliary and gastric operations.
Based on review of the literature and on their own material, authors have established that pancreatitis, following biliary and gastric operations, develops mostly at interventions performed on the papilla of Vater and/or around its region. The characteristic signs of the early postoperative. (2nd-4th day) pancreatitis are essentially confined to the pancreas (i.e. necrosis, abscess, erosion, bleeding, fistula). The time of early surgical intervention and the type of solution vary by patients. Recognition of the spreading of autolysis is possible by sonographic or computer tomographic control which also help in diagnosing further complications and indicating additional operations. Prognosis is poor and lethality is high and, consequently, the gastric or biliary operations involving the papilla of Vater or its region should be performed with particular caution. Postoperative pancreatitis can be a specific risk-factor of these operations.
Jakab
F
F
3rd Department of Surgery, Semmelweis University Medical School, Budapest, Hungary.
Regöly-Mérey
J
J
Závodszky
Z
Z
Ráth
Z
Z
D001662:Biliary Tract Surgical Procedures; D006801:Humans; D010195:Pancreatitis / Q000209:etiology*; D011183:Postoperative Complications; D013270:Stomach / Q000601:surgery*