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KMID : 0371319730150030049
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Journal of the Korean Surgical Society
1973 Volume.15 No. 3 p.49 ~ p.57
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Clinical Reviow of Acute Biliary Pancreatitis
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Abstract
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It has been known that biliary tract disease is an important factor in the pathogenesis of acute pancreatitis.
The authors present the result of a brief survey of 62 cases of acute biliary pancreatitis that have been treated at Busan Gospel Hospital during the five and a half years from January 1967 to June 1972, with a review of pertinent articles.
Peak incidence was in the fourth decade and the male: female ratio was 1 : 1. 5.
Acute biliary pancreatitis occurred in 62 of 118 eases of pancreatitis .(52%) or 6. 2% of the 925 cases of benign biliary tract disease which were operated on at our hospital during the survey period.
The etiological biliary tract disease was calculous in 15 cases (24%) and acalculous in 47 cases (76.4%). This is quite different from western reports in which calculous disease is more common than acalculous disease.
The parasites, ascaris and clonorchis, were especially important in the causation of acute biliary pancreatitis, accounting for 25% of all the cases of acalculous disease in our series.
In patients with biliary disease a routin check for amylase and sugar in blood and urine is needed, together with other routine diagnostic procedures, for early diagnosis of acute biliary pancreatitis.
Early diagnosis and early surgical intervention in cuses of biliary tract disease can prevent acate pancreatitis and it´s dangerous sequelae.
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