[Mental disorders in patients with acute necrotic pancreatitis].
BACKGROUND
The prognosis of patients with acute pancreatitis is still uncertain regardless of modern therapeutic procedures. It is even more emphasized if the acute pancreatitis is followed by psychic disorders.


OBJECTIVE
The aim of the study was to provide an overview of the incidence of certain psychosomatic disorders in patients with acute pancreatitis and evaluate priority therapeutic procedures.


METHODS
In this study, we analysed 16 patients with psychosomatic disorders followed by the episode of acute pancreatitis among 202 patients that were hospitalized in the period from 1993 until 2000. The diagnosis was based on anamnesis, clinical and laboratory findings and diagnostic procedures such as X-ray, US, CT and MRI.


RESULTS
Among 16 patients with psychosomatic disorders followed by acute pancreatitis, 13 (81.25%) patients were operated on and 3 (18.75%) patients were medically treated. 6 patients experienced hallucinations, 5 memory deficiency, 16 disorientation and 14 confabulation.


CONCLUSIONS
Psychosomatic disorders in patients with acute pancreatitis require complex medical treatment. Due to the already mentioned complications, the management of these conditions is very difficult and with uncertain results.
Stefanović
Dejan
D
Lekić
Nebojsa
N
Diimitrijević
Ivan
I
Zuvela
Marinko
M
Galun
Danijel
D
Radovanović
Nebojsa
N
Kerkez
Mirko
M
Kalezić
Nevana
N
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019283:Pancreatitis, Acute Necrotizing / Q000523:psychology*; D011379:Prognosis; D011602:Psychophysiologic Disorders / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy