Retrospective analyses of the acute pancreatitis with patients in the West Black Sea
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Dosyalar
Tarih
2010
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Introduction: In these study patients who were our clinic with an etiology, diagnosis and treatment methods, morbidity, mortality and effect of Ranson criteria to prognosis were examined retrospectively. Material and Method: In the study 44 mild and 18 severe total 62 AP cases among 2003-2008 at the General Surgery of Duzce University were analyzed retrospectively. Results: A etiologic factor was 40 (66,7 %), gallstone 11 (17, 7%) idiopathic, 4 (6,4 %) hyperlipidemia, 3 (4,8%) alchol-hyperlipidemia, 2 (3,2 %) alcohol, 2 (3,2 %) after ERCP complications. Patients were followed up with a diagnosis of acute pancreatitis, the average age of 59.6 (18 - 84) and 23 (37%) were man, 39 (63%) were woman. ERCP were performed to 14 patients with billiary pancreatitis 2 patients for the persistent billiary pancreatitis and for the 6 patients cholecystitis accompanied pancreatitis in the first 48 hours period, 23 patients following the acute pancreatitis attack were performed cholecystectomy. Acute pancreatitis patients first 6 cases of biliary 3 reputations have been switched to laparoscopic open cholecystectomy is being performed. 3 patients peritoneal lavage under local anesthesia, 4 patients' diagnostic laparoscopy and 2 patients nerosectomy were performed. Mean hospitalization times were 9.8 days for mild and 11.2 days severe. In the severe group idiopathic a etiology 3 (4.8 %) patients were exitus. Conclusion: Acute pancreatitis is a disease that can watch a high mortality rate. Biliary factors were the most common etiological factor. Idiopathic AP played a role in second place and we have observed that the effect of alcohol is quite low. In biliary acute pancreatitis ERCP is a useful method in the first stage. Overall mortality in severe AP, as observed in patients with the diagnosis, treatment and follow-up was important in these patients. © 2010 Düzce Medical Journal.
Açıklama
Anahtar Kelimeler
Acute pancreatitis; Retrospective analyses; West Black Sea region
Kaynak
Duzce Medical Journal
WoS Q Değeri
Scopus Q Değeri
Q4
Cilt
12
Sayı
3