Acute pancreatitis. An analysis of 91 consecutive cases (1988-1991) with a brief review of the literature).

Authors

  • A Milheiro Serviço de Cirurgia III, Hospitais da Universidade de Coimbra, Faculdade de Medicina de Coimbra.
  • A Medeiros
  • F Castro e Sousa

DOI:

https://doi.org/10.20344/amp.2704

Abstract

Acute pancreatitis (AP) remains a subject of great controversy from the standpoint of its aetiology, pathogeny and treatment. We present a study of 91 patients with AP consecutively admitted to a surgical ward. 50 Women and 41 men with a mean age of 59 +/- 19 years were treated. The aetiology of AP was attributed to gallstones in 54 patients, alcohol in 22, ERPC and trauma; in 14 patients the aetiology was considered idiopathic. The most frequent signs and symptoms were pain, vomiting, abdominal tenderness, jaundice and fever. The mean number of Ranson's prognostic criteria was 3 +/- 1.5 and 29 patients (31%) had more than three. Initial management was conservative in 84 patients (92.3%) and seven were operated on admission (acute abdomen in four, septic shock in two and common duct obstruction in another). Mortality rate was 11% (n = 10) and in 24 patients (26.3%) there were complications of AP. Most of the patients (80%) began oral feeding a week after admission. The mean number of Ranson's criteria of patients deceased was 5.4 +/- 1.6 and of those who survived was 2.8 +/- 1.3 (p < 0.001). Follow-up of patients allowed us to see that in five (5.5%) there was a relapse of AP.

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How to Cite

1.
Milheiro A, Medeiros A, Castro e Sousa F. Acute pancreatitis. An analysis of 91 consecutive cases (1988-1991) with a brief review of the literature). Acta Med Port [Internet]. 1995 May 30 [cited 2024 Nov. 23];8(5):269-77. Available from: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/2704

Issue

Section

Arquivo Histórico