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.
Pancreatitis , Therapeutics

Study on 70 acute pancreatitis patients (40 males, 30 females, aged 19 - 76) operated in Viet Duc Hospital from January 1999 to May 2002. Exclusive criteria: edema acute pancreatitis, necrotic pancreatitis without operation, necrotic pancreatitis was operated in basic settings. The results: the most of necrotic pancreatitis had no clear causes (74.28%). Mechanic causes included gallstone, worm (17.15%), acute pancreatitis after gall-pancreas area operation (1.43%). The disease was common in adults, mainly in 41-60 years old. In necrotic pancreatitis, pancreas could be necrotic very fast during the first 24 hours with shock, multi-organs failure, tympanites, vomit, peritoneum reaction and induction signs. The common symptoms were : increased blood amylase and urine amylase, leukocyte, blood urea, blood glucose; decreased blood calcium. CT scanner with a high accuracy rate (100%), was a gold criterion in diagnosis of necrotic pancreatitis. In operation, should minimized intervention. It is necessary to perform jejunotomy to decrease the expense due to intravenous feeding regularly.
Pancreatitis ; Therapeutics

The article presented a first 52-year woman with chronic pancreatitis and pancreatic stone who underwent Frey’s procedure at ViÖt - §øc Hospital in January 2002. This patient had admitted to hospital due to abdominal pain with vomiting. The general condition was poor; body weight was 35 kg. Skin and mucous membrane was not yellow. The patient had not edema or subcutaneous hemorrhage, blood pressure was 150/100 mmHg, and pulse was 85 rates per minute. She had history of uncontrolled hypertension. The postoperative outcome was good. The patient could eat light meal by 3 days after operation. Drain catheters were removed after 72 hours. She was free from pain. Sutures were removed after 7 days and she was released after 12 days. After 2-month follow-up, she had normal diet and activities
Pancreatitis, Chronic ; surgery ; therapeutics

The most vulnerable age group is 31-50 years old (52.3% of patients) with a sex ratio of male/female was 1/1, and the main causes of the great majority of cases are undetermined. The treatment is mainly preservative at a surgical institution and the severe complications must be promptly interventional surgical.
Pancreatitis ; epidemiology ; therapeutics ; surgery

Through 10 cases of calculus of the pancreas chronical pancreatitis calcified in head, trunk and tail of the pancreas, associated with the dilatation of the main duct of pancreas (6/10 patients were alcoholism, 10/10 had got abdomen pain treated internally, 10/10 ahd weight loss, 3/10 with the syndrom of bile obstruction, 2/10 with diabetes) operated by a combing surgery of Frey and Beger method, without death. Premiminary results showed that the pain was reduced, chronical pancreatitis was controlled and the complications for neighbourhood organs caused by this condition, such as bile obstruction, main bile duct obstruction..) were prevented. The excretion and endocrinological functions of the pancreas were preserved, living quality was obviously improved.
Surgery ; Therapeutics ; Pancreatitis, Chronic ; Lithiasis ; Pancreas