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KMID : 0378019800230110119
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New Medical Journal
1980 Volume.23 No. 11 p.119 ~ p.128
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SEPTIC COMPLICATIONS IN ACUTE PANCREATITIS
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J. Konrad
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Abstract
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60 patients of acute pancreatitis were treated by laparotomy during 1975-1979. Among those, 18 patients required relaparotomies one or more than one times.
The results are as followings;
(1) The most common causes of relaparotomies were acute abdomen, sepsis, gastrointestinal bleeding, intestinal perforation and ileus. (2) The methods of operations by relaparotomies were
(a) sequestrectomy a washing and drainage,
(b) subtotal pancreatectomy with splenectomy,
(c) intestinal resection,
(d) vagotomy, and partial gastectomy etc.
(3) One patient, by whom four times lapatotomies were undertaken and finally died of sepsis,was presented.
(4) Relaparotomy, if indicated, at ringt time must be performed.
(5) The mortality if edematous pancreatitis was 23%, that in necrotic pancreatitis was
53%, and in patient who required relaparotomy that was 77%.
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