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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
4
|
| pubmed:dateCreated |
1998-4-17
|
| pubmed:abstractText |
Acute biliary pancreatitis (ABP) still retains high morbidity (15-50%) and mortality (20-35%). Therefore it appears to be crucial clearly assessing the aetiological factors (50% of idiopathic are in fact biliary pancreatitis) and establishing the severity in order to plan the appropriate treatment. Forty-nine ABP patients were diagnosed by ultrasound (75.5%) or by laboratory findings (22.5%). Following Ranson and APACHE II scoring, 15 cases (30.6%) were classified as severe, 34 (69.3%) as mild. All patients with severe ABP had emergency ERCP + ES (within 24-48 hours) followed by LC (< or = 10 days). Patients with mild ABP had LC within 10 days; in these cases IOC was always done. In severe cases operative endoscopy cured pancreatic inflammation in 11 cases. Subsequent LC never showed serious morbidity, but subcutaneous emphysema in one case. In 4 cases laparotomy was required since pancreatic necrosis was present, with 75% mortality. In patients with mild pancreatitis LC was successfully performed in all cases, with 8.8% morbidity. IOC showed choledochal stones in 32.5% of cases, while in severe cases stones in the biliary tree were showed in 80% of cases. In conclusion ABP treatment is always surgical, and almost always with minimally-invasive procedures in severe cases (ERCP + ES with LC < or = 10 days) if surgery is performed within 24-48 hours as well as in mild cases (LC + IOC) when surgery is done within 10 days.
|
| pubmed:language |
ita
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:issn |
0009-4773
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
48
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
21-5
|
| pubmed:dateRevised |
2009-11-11
|
| pubmed:meshHeading |
pubmed-meshheading:9522095-APACHE,
pubmed-meshheading:9522095-Acute Disease,
pubmed-meshheading:9522095-Adolescent,
pubmed-meshheading:9522095-Adult,
pubmed-meshheading:9522095-Aged,
pubmed-meshheading:9522095-Aged, 80 and over,
pubmed-meshheading:9522095-Cholangiography,
pubmed-meshheading:9522095-Cholangiopancreatography, Endoscopic Retrograde,
pubmed-meshheading:9522095-Cholecystectomy, Laparoscopic,
pubmed-meshheading:9522095-Cholelithiasis,
pubmed-meshheading:9522095-Female,
pubmed-meshheading:9522095-Gallstones,
pubmed-meshheading:9522095-Humans,
pubmed-meshheading:9522095-Male,
pubmed-meshheading:9522095-Middle Aged,
pubmed-meshheading:9522095-Pancreatitis,
pubmed-meshheading:9522095-Sphincterotomy, Endoscopic,
pubmed-meshheading:9522095-Surgical Procedures, Minimally Invasive,
pubmed-meshheading:9522095-Time Factors
|
| pubmed:year |
1996
|
| pubmed:articleTitle |
[Acute biliary pancreatitis: mini-invasive treatment].
|
| pubmed:affiliation |
Dipartimento di Discipline Chirurgiche, Università degli Studi di L'Aquila.
|
| pubmed:publicationType |
Journal Article,
Comparative Study,
English Abstract
|