title: Enzymatic debridement in necrotizing pancreatitis.
abstract: Multiple organ failure and pancreatic necrosis are the factors that determine prognosis in acute pancreatitis attacks. We investigated the effects of collagenase on the debridement of experimental pancreatic necrosis. The study covered 4 groups; each group had 10 rats. Group I was the necrotizing pancreatitis group. Group II was the collagenase group with pancreatic loge by isotonic irrigation following necrotizing pancreatitis. Group III was the collagenase group with pancreatic loge following necrotizing pancreatitis. Group IV was the intraperitoneal collagenase group following necrotizing pancreatitis. The progress of the groups was compared hematologically and histopathologically. There was no difference among the groups regarding the levels of leukocyte, hemogram, and urea. The differences in AST levels between Group I and II; and differences in glucose, calcium, LDH, AST, and amylase between Group II and III; between Group II and IV; between Group I and III; and between Group I and IV were statistically significant (P < 0.05). There were statistically significant differences between Group II and III, and Group II and IV regarding edema, acinar necrosis, inflammatory cell infiltration, hemorrhage, and fat necrosis (P < 0.05). In conclusion, the collagenase preparation used in this experimental pancreatitis model was found to be effective in the debridement of pancreatic necrosis.
authors.affiliation: 1 Department of General Surgery, Necmettin Erbakan University, Konya, Turkey.
authors.forename: Murat
authors.initials: M
authors.lastname: Cakir
authors.forename: Ahmet
authors.initials: A
authors.lastname: Tekin
authors.forename: Tevfik
authors.initials: T
authors.lastname: Kucukkartallar
authors.forename: Husamettin
authors.initials: H
authors.lastname: Vatansev
authors.forename: Adil
authors.initials: A
authors.lastname: Kartal
mesh_terms: D000818:Animals; D003646:Debridement / Q000379:methods*; D004195:Disease Models, Animal; D003012:Microbial Collagenase / Q000494:pharmacology*; D019283:Pancreatitis, Acute Necrotizing / Q000188:drug therapy*; D010447:Peptide Hydrolases / Q000494:pharmacology*; D051381:Rats; D017208:Rats, Wistar
chemical_list: D010447:Peptide Hydrolases; D003012:Microbial Collagenase
keywords: Acute pancreatitis; Collagenase; Debridement; Necrose