11 patients aged 24-70, with pancreatitis admitted at Viet Duc Hospital from Jan 1998 to Dec 2002. Ultrasonic examination was carried out and terminated diagnosis was performed surgically, blood level of amylase increased by 3 times versus normal level. The highest incidence level is in the middle age (13/14 patients – 31,7%). Ultrasonic signs characteristic for acute pancreatitis of edematous form is enlarged pancrea with appeared edge, low echo or equal echo of pancrea parenchyma. In necrojy form of acute pancreatitis the pancrea edge is dim, pancrea parenchyma is unregulated with the mixed structure. In 9/41 patients, by ultrasound the pancrea is not appeared. Thus in accessing the pancrea, pancreatitis can be diagnosed with a sensibility of 81,23%
Pancreatitis ; Ultrasonics ; Pancreatitis, Acute Necrotizing

Acute necrotizing pancreatitis accounts for 10% of acute pancreatitis (AP) cases and is associated with a higher mortality and morbidity. Necrosis within the first 4 weeks of disease onset is defined as an acute necrotic collection (ANC), while walled off pancreatic necrosis (WOPN) develops after 4 weeks of disease onset. An infected or symptomatic WOPN requires drainage. The management of pancreatic necrosis has shifted away from open necrosectomy, as it is associated with a high morbidity, to less invasive techniques. In this review, we summarize the current management and therapies for acute necrotizing pancreatitis.
Drainage ; Mortality ; Necrosis ; Pancreatitis* ; Pancreatitis, Acute Necrotizing

Acute Disease ; Humans ; Pancreas ; Pancreatitis ; surgery ; Pancreatitis, Acute Necrotizing

No abstract available.
Acute Kidney Injury* ; Humans ; Pancreatitis*

Acute Disease ; Humans ; Pancreatitis ; therapy

Acute pancreatitis is a common acute abdomen of the digestive system. In recent years,great progress has been made in the diagnosis and treatment concepts,methods and strategies of acute pancreatitis,which plays an important role in promoting the standardization of acute pancreatitis management and improving the level of patient treatment. Based on the previous guidelines and expert consensus,this guideline adopts an evidence-based and problem-oriented presentation in a way. Comprehensive analysis of the data of important domestic and foreign clinical research in the past 5 years,29 recommendations are formed after multi-disciplinary expert discussion which including diagnosis,treatments and follow-up,with the expectation of providing evidence support for clinical practice of acute pancreatitis in China.
Acute Disease ; China ; Consensus ; Humans ; Pancreatitis/therapy*

Acute Disease ; Combined Modality Therapy ; Humans ; Pancreatitis ; therapy ; Pancreatitis, Acute Necrotizing ; therapy

Gallstones and alcohol consumption are well-known causes of acute pancreatitis, which usually follows a mild and self-limited course. Although extremely rare, hypercalcemia is a possible cause of acute pancreatitis. There are only few reported cases, all of which were mild and self-limited. Here we report a patient with iatrogenic hypercalcemia-induced necrotizing pancreatitis that progressed to serious adverse events such as biliary obstruction, peripancreatic fluid collection with walled-off necrosis, and acute cholecystitis. The patient was successfully treated with appropriate endoscopic and radiologic interventions, and recovered well.
Alcohol Drinking ; Calcium Compounds ; Cholecystitis, Acute ; Gallstones ; Humans ; Hypercalcemia* ; Necrosis ; Pancreatitis ; Pancreatitis, Acute Necrotizing*

L-asparaginase is an important component of antileukemic therapy in patients with acute lymphoblastic leukemia. The degree of L-asparaginase toxicity is variable. Several cases of L-asparaginase related pancreatitis have been reported in the literature. However, necrotizing pancreatitis in adult has not been reported yet. Herein, we present a case of necrotizing pancreatitis caused by L-asparaginase that was complicated by pancreatic duct leakage and pseudocyst formation, but successfully treated with percutaneous drainage and octreotide treatment.
Adult ; Drainage ; Humans ; Octreotide ; Pancreatic Ducts ; Pancreatitis ; Pancreatitis, Acute Necrotizing* ; Precursor Cell Lymphoblastic Leukemia-Lymphoma*

The management of pancreatitis remained controversial over the past decades, varying from conservative medical treatment to surgical treatment. However, in recent years, treatment of severe acute pancreatitis is shifting from an early surgical debridement and necrosectomy to an aggressive intensive medical care. While the treatment is conservative in the earlier phase of the disease, surgery might be considered in the later phase. In chronic pancreatitis and in pancreatic pseudocyst, various surgical approaches are available these days. Apart from the conventional open surgery, laparoscopic procedure became popular since it is minimally invasive and effective. In addition, with the great improvements in interventional radiology and endoscopic techniques, multidisciplinary approaches including medical, interventional, and surgical management become much more important in the proper treatment of pancreatitis. In this review, pancreatitis is classified into three categories (acute pancreatitis, chronic pancreatitis, and pancreatic pseudocyst) for convenience, and the surgical treatment is described in each category.
Acute Disease ; English Abstract ; Humans ; Pancreatic Pseudocyst/surgery ; Pancreatitis/*surgery ; Pancreatitis, Chronic/surgery