[Acute pancreatitis of uncommon etiology: a physiopathologic approach].
A review of 73 cases of acute pancreatitis (A.P.) of *A in frequent etiology is critically analyzed. The patients were allocated to the following categories: post ingestion of a large meal, dyslipemic, post ERCP, post operative, pregnancy, and puerperium linked., post urlian parotiditis, post stress, idiopathic, drug associated, post traumatic. In each of the above groups those hypotheses that are currently primarily accepted as been mainly concerned with the etiopathogenesis of the inflammatory episode were given preference. One factor upon which the authors has put special emphasis is that of frequent involvement of the nervous system through different types of autonomic are reflexes. This pathogenic mechanism is surprisingly disregarded in the literature. The interrelation ship between the severity of an AP episode and the background provided by the "pancreon" secretory activity is also emphasized. The mortality rate of the whole series was of 7 cases (9.6%). The groups that disclosed the highest rates were related to abdominal surgery (50%) and to dyslipemia (17%).
García
H A
HA
Servicio de Cirugía Genral Complejo Hospitalarios Churruca-Visca.
Tiscornia
O M
OM
Gasali
F
F
Monti
C
C
Maschietto
A
A
Sapin
F
F
Molinelli Wells
N
N
Uchiumi
L
L
Sutera
S
S
García
M
M
D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000209:etiology* / Q000401:mortality / Q000503:physiopathology*; D011247:Pregnancy; D012189:Retrospective Studies