title: Severe acute pancreatitis: results of treatment.
abstract: OBJECTIVE
  To evaluate the results of the Protocol for treatment of patients with severe acute pancreatitis.
  
  
  METHODS
  We consecutively analyzed age, gender, etiology, length of hospital stay, type of treatment and mortality of 37 patients with severe acute pancreatitis from January 2002.
  
  
  RESULTS
  The patients' ages ranged from 20 to 88 years (average 50 years), 27% were female and 73% male. Mean overall hospital stay was 47 days. Thirteen patients were treated surgically, the average operations per patient was two. There were six deaths among patients undergoing surgical treatment (46%) and two deaths in the group submitted to medical treatment alone (8.3%). The overall mortality was 21%.
  
  
  CONCLUSIONS
  After modification in the form of management of patients with severe acute pancreatitis, there was a decrease in mortality and a trend for conservative management.
authors.affiliation: Surgical Gastroenterology, Department of Surgery, São Paulo School of Medicine, UNIFESP, Brazil. apodaca@uol.com.br
authors.forename: Franz Robert
authors.initials: FR
authors.lastname: Apodaca-Torrez
authors.forename: Edson José
authors.initials: EJ
authors.lastname: Lobo
authors.forename: Lilah Maria Carvas
authors.initials: LM
authors.lastname: Monteiro
authors.forename: Geraldine Ragot
authors.initials: GR
authors.lastname: de Melo
authors.forename: Alberto
authors.initials: A
authors.lastname: Goldenberg
authors.forename: Benedito
authors.initials: B
authors.lastname: Herani Filho
authors.forename: Tarcisio
authors.initials: T
authors.lastname: Triviño
authors.forename: Gaspar de Jesus
authors.initials: Gde J
authors.lastname: Lopes Filho
mesh_terms: D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000628:therapy*; D012720:Severity of Illness Index; D055815:Young Adult