Resection of the pancreas for acute hemorrhagic and necrotizing pancreatitis

The role of surgery in the treatment of acute hemorrhagic or necrotizing pancreatitis is discussed on the basis of a series of 996 patients with all types of acute pancreatitis who were treated in the years 1967–1976. Pancreatic resection was performed in 29 patients with hemorrhagic or necrotizing...

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Bibliographic Details
Published in:World journal of surgery 1979-09, Vol.3 (5), p.631-637
Main Authors: Autio, Ville, Juusela, Eero, Lauslahti, Kalevi, Markkula, Hannu, Pessi, Teuvo
Format: Article
Language:English
Subjects:
Acute Disease
Acute Pancreatitis
Adult
Aged
Diabetes Complications
Female
Gastrointestinal Hemorrhage - surgery
Humans
Male
Middle Aged
Mortality Rate
Necrosis
Pancreatectomy - methods
Pancreatectomy - mortality
Pancreatic Resection
Pancreatitis
Pancreatitis - mortality
Pancreatitis - pathology
Pancreatitis - surgery
Postoperative Complications
Public Health
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Summary:The role of surgery in the treatment of acute hemorrhagic or necrotizing pancreatitis is discussed on the basis of a series of 996 patients with all types of acute pancreatitis who were treated in the years 1967–1976. Pancreatic resection was performed in 29 patients with hemorrhagic or necrotizing pancreatitis during the past 3 years. The extent of resection ranged from 60 to 100% of the pancreas. Eight patients died, for a mortality rate of 28%. Eight of 21 surviving patients developed diabetes requiring substitution therapy. During a follow‐up period of 6 to 36 months, 17 patients were able to resume work, 3 are still convalescing, and 1 has retired. Résumé La place de la chirurgie dans le traitement de la pancréatite aiguë hémorragique ou nécrosante est discutée à partir de 996 cas de pancrèatites aiguës de tous types traités entre 1967 et 1976. Au cours des 3 dernières années, une pancréatectomie a été faite chez 29 malades atteints de pancréatite hémorragique ou nécrosante. L'étendue de la résection a été de 60 à 100%. Huit malades sont morts (28%). Parmi les 21 survivants, 8 ont développé un diabète exigeant une thérapeutique de substitution. Le follow‐up est de 6 à 36 mois: 17 malades ont pu reprendre le travail; 3 sont encore en convalescence; le dernier a pris sa retraite.
ISSN:0364-2313
1432-2323
DOI:10.1007/BF01654774