[Repeated laparotomy for acute necrotizing pancreatitis].
In the period of 1984-1996, 569 patients were treated for acute pancreatitis and 37 of them (6.5%) developed infected pancreatic necrosis (IPN). All these patients were submitted to repeated laparotomies according to Bradley's procedure. The IPN was caused by: bile duct stones--in 11 cases, alcohol abuse-14, ERCP-6, trauma-1, in 6 cases the etiology was cryptogenic. The accuracy of imaging tests was: USG-62%, CT-100%. Sepsis was present in all cases, and multiorgan insufficiency-in 25 patients. Hospital mortality was 30% (11 patients). The most frequent reason of death was multiorgan insufficiency. The actuarial survival was 26 patients (70%).
Pirski
M I
MI
I Katedry i Kliniki Chirurgii Akademii Medycznej w Gdańsku.
Gacyk
W
W
Zadrozny
D
D
Draczkowski
T
T
Smietański
M
M
D000208:Acute Disease; D000328:Adult; D000368:Aged; D000437:Alcoholism / Q000150:complications; D001649:Bile Duct Diseases / Q000150:complications; D002769:Cholelithiasis / Q000150:complications; D017052:Hospital Mortality; D006801:Humans; D007813:Laparotomy; D008875:Middle Aged; D010195:Pancreatitis / Q000150:complications / Q000601:surgery; D019283:Pancreatitis, Acute Necrotizing / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D012086:Reoperation; D015996:Survival Rate