[Acute pancreatitis of biliary etiology. The case histories of the Department of General Surgery of S. Francisco Xavier Hospital (1990-1993)].
Gallstones and alcohol are the most important causes of acute pancreatitis, accounting for 80% of cases. One hundred and four cases of Acute Gallstone Pancreatitis were retrospectively studied, representing 39.5% of all cases of Acute Pancreatitis that have been treated between 1990-93. Abdominal ultrasound, demonstrating gallstones in 95% of the cases, was a very useful examination in the initial study of these patients. ERCP with sphincterotomy was performed in 25 patients: 6 in a urgent basis and the others as elective procedure. Gallstones have been treated during the initial admission in 80.6% of the cases and the others at a second admission: ERCP with sphincterotomy in 14 patients as the only etiologic treatment, open cholecystectomy in 50 cases and laparoscopic cholecystectomy in 29 cases. The overall mortality rate was 3.8%--four cases.
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Serviço de Cirurgia Geral, Hospital S. Francisco Xavier, Lisboa.
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D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002410:Catholicism; D002769:Cholelithiasis / Q000150:complications* / Q000175:diagnosis / Q000401:mortality / Q000601:surgery; D005260:Female; D016519:Hospitals, Religious / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000175:diagnosis / Q000209:etiology* / Q000401:mortality / Q000601:surgery; D011174:Portugal / Q000453:epidemiology; D012189:Retrospective Studies; D013503:Surgery Department, Hospital / Q000706:statistics & numerical data
Pancreatite aguda de etiologia biliar. Casuística do Serviço de Cirurgia Geral do H. S. Francisco Xavier (1990-1993).