ackground : According to the rapid changes in social environment such as increasing alcohol consumption and the marked improvement in diagnostic technique, we expect that there have been major changes in various aspects of acute pancreatits
during
the recent 12
years in Korea.
Methods : The medical records of 317 patients with acute pancreatitis diagnosed from 1980
through 1992 were reviewed about clinical, laboratory and radiological findings in the three
different time period.
Results :
1) There hs been an increasing incidence in male sex about three folds.
2) There has been an increasing trends in the duration of hospitalization.
3) A significant increase was observed in the proportion of patients with alcoholic
pancreatitis in the three different time period; 26.9%, 45.7%, 50.7% respectively.
4) The complication rates have been slightly increased in the three different time period;
46.3%, 47.1%, 59.1% respectively. But, the type of complications has not been changed.
5) There is increasing severity in non-gallstone group, but no significant differences in
allstone group. There is a declining trends in the number of patients with muld severity
index, but increasing trend in the number of patients with moderate severity index in
non-gallstone group.
6) There was no significant differences in mortality rate.
Conclusions : There has been major changes in the etiology ans severity of acute
pancreatitis from 1980 through 1992. Especially, significant increase in the proportion of
patients with alcoholic pancreatitis was observed in the three different time period. These
results might be due to socioeconomic changes.
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