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Acute gallstone pancreatitis: a constant challenge for the surgeon.
MedLine Citation:
PMID:  23133067     Owner:  NLM     Status:  PubMed-not-MEDLINE    
INTRODUCTION: Acute pancreatitis is an inflammation of the pancreas caused by autodigestion of the gland by its enzymes. It includes a broad spectrum of pancreatic disease, which varies from parenchymal edema to necrosis. The objective of the current study was to describe the symptoms of the patients with gallstone-associated pancreatitis and to reinforce the opinion that operation, within the first 72 hours after the onset of the disease, has many advantages and has to be considered as a treatment option when ERCP is not available.
METHODS: The present retrospective study concerns all patients that were hospitalized in Mamatsio Hospital of Kozani during the period between Jan 1, 1997 and Dec 1, 2002 under the diagnosis of gallstone-associated acute pancreatitis. From the records 108 cases were identified (43 males and 65 females). The mean age was 62.93 (SD 15.85 years), ranging from 17 to 91 years.
RESULTS: 24 patients (22.22%) fulfilled more than 3 of Ranson's criteria. 20 patients (18.52%) presented necrotizing pancreatitis. All patients underwent open cholecystectomy and common bile duct exploration. Necrosectomy concomitantly with cholecystectomy was performed in 7 patients (6.48%). The mean hospitalization was 10.53 days (S.D. 6.38 days), ranging from 2 to 36 days. The associated mortality reached 5.55% (6 patients) and no patient died in the operating theater. During the 12-month follow-up period, 2 patients (1.85%) developed pancreatic pseudocysts.
T S Papavramidis; N Zandes; K Hatzimisios; Th Koutsimani; F Kehagia; P Agorastou; M Doulgerakis; I Patoulidis
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Publication Detail:
Type:  Journal Article     Date:  2008-11-26
Journal Detail:
Title:  The Indian journal of surgery     Volume:  70     ISSN:  0972-2068     ISO Abbreviation:  Indian J Surg     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2012-11-07     Completed Date:  2012-11-08     Revised Date:  2013-05-30    
Medline Journal Info:
Nlm Unique ID:  0373026     Medline TA:  Indian J Surg     Country:  India    
Other Details:
Languages:  eng     Pagination:  224-6     Citation Subset:  -    
Department of Surgery, Mamatsio General Peripheral Prefecture, Hospital of Kozani, Thessaloniki, Greece.
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