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 | sâmbătă, 19 ianuarie 2019
ISSN: 1584 - 9341 Vol.10 No.3 - July-September 2014
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THE TREATMENT OF ACUTE BILIARY PANCREATITIS
Elena Gologan (1), A.N. Pantazescu (2), G. Bălan (1)
(1) Institute of Gastroenterology and Hepatology Iaşi
(2) Surgical Department, „St. John” Emergency Clinic Hospital Iaşi
„Gr.T. Popa” University of Medicine and Pharmacy Iaşi
Jurnalul de chirurgie 2009; 5 (4): 335-343
Full text:
Format PDF (Română/Romanian)

Abstract:

Acute gallstone pancreatitis represents about half of all pancreatitis and it has still a high mortality despite the progress in the early diagnosis and proper treatment. There are certain difficulties in choosing the optimal treatment because of the polymorphism of presentations, the diversity of pathological types, the particularities of the cases and the risks that are to assume in any kind of treatment strategy the doctor choose. Another difficult factor to assume is the moment of the interventional approach, which is still controversial due to its high dependence of too many factors. The conservative treatment of acute gallstone pancreatitis is not usually followed by the remission of the inflammatory process but leads to the aggravation of the disease. The removal of the cause of the ampular obstruction (the stone) can be spontaneously in some cases; however, in most cases of severe disease the removal requires surgical or endoscopic interventional approach. The most important controversy lies between these two methods, and to choose the proper moment of each intervention.

KEY WORDS: GALLSTONE PANCREATITIS, ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY, ENDOSCOPIC SPHINCTEROTOMY, SURGERY

Correspondence to: Elena Gologan, MD, PhD; Institute of Gastroenterology and Hepatology Iaşi, Independenţei Street No. 1, 700111, Iaşi; e-mail:



: 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.