Jurnalul de Chirurgie
 Jurnalul de chirurgie
Aparitie trimestriala in a doua luna a trimestrului
Published quarterly in the second month of the quarter
ISSN: 1584 - 9341 Vol.10 Nr.3 - Iulie-Septembrie 2014 | luni, 17 iunie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
English
British Flag| Romana Romanian Flag
 
Creditare EMC
Colegiul Medicilor
Va invitam sa va inregistrati/abonati la Jurnalul de chirurgie pentru a beneficia de creditare EMC
User

Parola

Tine minte
Ti-ai uitat parola?
Syndicate

Advertisement

Elmed

Estima

Liamed

Listare E-mail

THERAPEUTIC APPROACH IN THE COMPLICATIONS OF ACUTE PANCREATITIS
G. Veselu 1, M. Paduraru 1, C. Baciu 1, Doina Veselu 2

1 „Constantin Angelescu” Hospital Bucuresti
2 „Grigore Alexandrescu” Clinic Hospital Bucuresti
Jurnalul de chirurgie 2006; 2 (4):374-377
Full text: Format PDF (Romanian)

Abstract:

Acute pancreatitis is a disease with severe local, regional and general complications.

Material and methods: During 1999 – 2004 in our unit were treated 32 cases of acute pancreatitis. The etiology of the pancreatitis was: biliary lithiasis in 25 cases (78.12%). Only 7 cases have a severe evolution.

All the cases were evaluated by abdominal ultrasound exam, computed tomography and severity scores (Ranson and Apache). Also, the patients were treated and monitored in the intensive care unit.

We performed the antibiotic prophylaxy with tienam (500 mg x 4/ day) associated with metronidazole (1 g/ day). In some cases we used another therapy: ceftazidime + amikacina + metronidazole. We also used enteral nutrition where was possible, but in some cases total parenteral nutrition was required.

Results: After the diagnosis of biliary lithiasis some surgical procedures were performed: cholecystectomies ? the drainage of the main biliary duct. For the 7 cases of severe acute pancreatitis we performed necrosectomies and the drainage of the pancreatic abcesses. Two patients with severe acute pancreatitis died. No surgical interventions were performed for non-biliary acute pancreatitis with good results.

Conclusions:
1) The prophylactic use of antibiotics decrease the arte of pancreatic and extrapancreatic infections.
2) We performed the exploratory laparotomy in all the cases with uncertain diagnosis.
3) Cholecystectomies ? the drainage of the main biliary duct were performed in all the cases with biliary lithiasis.
4) In the cases with acute severe pancreatitis we prefer late surgical intervention.

KEYWORDS: ACUTE PANCREATITIS

Paper presented to the 4-th International Conference of Surgery, Iasi, October 19-22, 2006

 



: Creative Commons License
Jurnalul de chirurgie [Journal of Surgery] by Editorial Board, Department of Surgery University of Medicine and Pharmacy Iasi, E. Tarcoveanu, R. Moldovanu is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at www.jurnaluldechirurgie.ro.