[Surgical aspects of biliary pancreatitis].
The authords present the series of 59 patients with biliary pancreatitis, being observed in the period of January 1st 1971 to December 31st 1979. In the observed material the disease appears in 63,4 per cent of the total pancreatitis. Pancreatitis in our material has appeared in 7,30 per cent of cases with cholelithiasis, in 43,45 per cent when cholelithiasis and choledocholithiasis appear together and in 39,13 per cent when cholelithiasis, choledocholithiasis and stenosis of distal choledochus are present. The stenotic papillitis in our cases has let to pancreatitis up to 57,14 per cent, and the tumours of papillae and the mutal gall bladder channel in all cases. The diagnosis is stated on the basis of clinical examination, serum and urine analyses, the intravenous cholangiography and manometry. A whole spectrum of surgical interventions are also presented which were performed for the aim of therapy. The mortality reached 7 per cent, three patients were not subjectively cured, while the others have achieved the subjective and objective healing. We assume the active surgical attitude either during the first attack of the disease or after the latent acute course, or in the repeated attack. Each case should be carefully led on, and tie of the surgical intervention should be defined on the basis of both end objective facts.
D000328:Adult; D001660:Biliary Tract Diseases / Q000150:complications* / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D010195:Pancreatitis / Q000209:etiology / Q000601:surgery*
Hirurski aspekt bilijarnog pankreatitisa.