Experience on acute necrotizing pancreatitis treated at Viet Duc hospital
- Author:
Nguyen Thanh Long
- Publication Type:Journal Article
- Keywords:
Pancreatitis;
Acute disease;
Acute necrotizing pancreatitis;
Treatment;
Hanoi
- MeSH:
Pancreatitis , Therapeutics
- From:Journal of Medical Research
2005;36(3):53-58
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
Retrospective study from January 1999 to October 2003 on 90 patients of acute necrotizing pancreatitis (ANP) treated at Viet Due Hospital in which demonstrated: male patients represented 56.7%; alcoholism 18.9%. The interval between onset syndrome and operation was: less than 48 hours: 14.4%; from 2 to 14 days: 74.4%; more than 14 days: 11.2%. Surgical procedures were performed: resection for the necrotic tissue and ample drainage (86 cases), pancreatectomy of head part and main part was done on 2 cases, abscess drainage for 2 cases; jejunostomy: 67 cases; biliary: 53 cases; management of other lesions for 3 cases; postoperative complication was presenting 35.6%; the mortality was 18.9%. This study showed that necrotizing pancreatitis did not well respond to medical treatment. The best time to take operation is on the third day still onset the syndrome. The surgical procedures as resection for necrotic tissue and drainage is most often management. Ample pacreatectomy is not employed due to it cause high mortality, can be up to 100%. Regarding patient nutrition, the jejunostomy is more effective and it can control infection as well. The biliary drainage can be indicated if bile duct was obstructed.
