The diagnosis and treatment of acute pancreatitis.
Autor(a) principal: | |
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Data de Publicação: | 1995 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2784 |
Resumo: | Acute pancreatitis is a disease in which there are still considerable difficulties of etiologic, diagnostic and therapeutic nature due to a lack of knowledge of the mechanism responsible for the pancreatic autodigestion process. With the objective of evaluating the diagnostic criteria and therapeutic options, with particular emphasis on surgical treatment, we undertook a prospective clinical study of 153 cases of acute pancreatitis, over a period of 66 months (January 1986-June 1991) based on a specially prepared computerised register. The analysis of the results we obtained allows us to emphasise the following: a) the most common etiology was the alcoholism, closely followed by cholelithiasis, with values of approximately 40% for both; b) abdominal ultrasonography allowed the diagnosis of acute pancreatitis in 51.2% and the diagnosis of associated pathology in 56.7%, particularly cholelithiasis (41.7%); c) abdominal CT diagnosed acute pancreatitis in all 15.7% of the cases on which it was performed; d) medical therapy alone was performed in 43.1%, associated with the peritoneal lavage in 10.5% and with surgical therapy in 46.4%; e) indication for surgical therapy was a doubtful diagnosis in 32.4%, clinical-laboratory deterioration in 8.5%, treatment of associated biliary pathology in 47.9%, pancreatic abscess in 5.6% and pancreatic pseudocyst also in 5.6%; f) surgical treatment of the biliary tract was performed in 67%, with an operative mortality of 2.1%.(ABSTRACT TRUNCATED AT 250 WORDS) |
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The diagnosis and treatment of acute pancreatitis.Diagnóstico e tratamento das pancreatites agudas.Acute pancreatitis is a disease in which there are still considerable difficulties of etiologic, diagnostic and therapeutic nature due to a lack of knowledge of the mechanism responsible for the pancreatic autodigestion process. With the objective of evaluating the diagnostic criteria and therapeutic options, with particular emphasis on surgical treatment, we undertook a prospective clinical study of 153 cases of acute pancreatitis, over a period of 66 months (January 1986-June 1991) based on a specially prepared computerised register. The analysis of the results we obtained allows us to emphasise the following: a) the most common etiology was the alcoholism, closely followed by cholelithiasis, with values of approximately 40% for both; b) abdominal ultrasonography allowed the diagnosis of acute pancreatitis in 51.2% and the diagnosis of associated pathology in 56.7%, particularly cholelithiasis (41.7%); c) abdominal CT diagnosed acute pancreatitis in all 15.7% of the cases on which it was performed; d) medical therapy alone was performed in 43.1%, associated with the peritoneal lavage in 10.5% and with surgical therapy in 46.4%; e) indication for surgical therapy was a doubtful diagnosis in 32.4%, clinical-laboratory deterioration in 8.5%, treatment of associated biliary pathology in 47.9%, pancreatic abscess in 5.6% and pancreatic pseudocyst also in 5.6%; f) surgical treatment of the biliary tract was performed in 67%, with an operative mortality of 2.1%.(ABSTRACT TRUNCATED AT 250 WORDS)Acute pancreatitis is a disease in which there are still considerable difficulties of etiologic, diagnostic and therapeutic nature due to a lack of knowledge of the mechanism responsible for the pancreatic autodigestion process. With the objective of evaluating the diagnostic criteria and therapeutic options, with particular emphasis on surgical treatment, we undertook a prospective clinical study of 153 cases of acute pancreatitis, over a period of 66 months (January 1986-June 1991) based on a specially prepared computerised register. The analysis of the results we obtained allows us to emphasise the following: a) the most common etiology was the alcoholism, closely followed by cholelithiasis, with values of approximately 40% for both; b) abdominal ultrasonography allowed the diagnosis of acute pancreatitis in 51.2% and the diagnosis of associated pathology in 56.7%, particularly cholelithiasis (41.7%); c) abdominal CT diagnosed acute pancreatitis in all 15.7% of the cases on which it was performed; d) medical therapy alone was performed in 43.1%, associated with the peritoneal lavage in 10.5% and with surgical therapy in 46.4%; e) indication for surgical therapy was a doubtful diagnosis in 32.4%, clinical-laboratory deterioration in 8.5%, treatment of associated biliary pathology in 47.9%, pancreatic abscess in 5.6% and pancreatic pseudocyst also in 5.6%; f) surgical treatment of the biliary tract was performed in 67%, with an operative mortality of 2.1%.(ABSTRACT TRUNCATED AT 250 WORDS)Ordem dos Médicos1995-12-31info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2784oai:ojs.www.actamedicaportuguesa.com:article/2784Acta Médica Portuguesa; Vol. 8 (1995): Suplemento 1; S21-9Acta Médica Portuguesa; Vol. 8 (1995): Suplemento 1; S21-91646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2784https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2784/2174Araújo, J DSousa, F VNogueira, AMorais, J Ainfo:eu-repo/semantics/openAccess2022-12-20T11:01:12Zoai:ojs.www.actamedicaportuguesa.com:article/2784Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:18:00.764160Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
The diagnosis and treatment of acute pancreatitis. Diagnóstico e tratamento das pancreatites agudas. |
title |
The diagnosis and treatment of acute pancreatitis. |
spellingShingle |
The diagnosis and treatment of acute pancreatitis. Araújo, J D |
title_short |
The diagnosis and treatment of acute pancreatitis. |
title_full |
The diagnosis and treatment of acute pancreatitis. |
title_fullStr |
The diagnosis and treatment of acute pancreatitis. |
title_full_unstemmed |
The diagnosis and treatment of acute pancreatitis. |
title_sort |
The diagnosis and treatment of acute pancreatitis. |
author |
Araújo, J D |
author_facet |
Araújo, J D Sousa, F V Nogueira, A Morais, J A |
author_role |
author |
author2 |
Sousa, F V Nogueira, A Morais, J A |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Araújo, J D Sousa, F V Nogueira, A Morais, J A |
description |
Acute pancreatitis is a disease in which there are still considerable difficulties of etiologic, diagnostic and therapeutic nature due to a lack of knowledge of the mechanism responsible for the pancreatic autodigestion process. With the objective of evaluating the diagnostic criteria and therapeutic options, with particular emphasis on surgical treatment, we undertook a prospective clinical study of 153 cases of acute pancreatitis, over a period of 66 months (January 1986-June 1991) based on a specially prepared computerised register. The analysis of the results we obtained allows us to emphasise the following: a) the most common etiology was the alcoholism, closely followed by cholelithiasis, with values of approximately 40% for both; b) abdominal ultrasonography allowed the diagnosis of acute pancreatitis in 51.2% and the diagnosis of associated pathology in 56.7%, particularly cholelithiasis (41.7%); c) abdominal CT diagnosed acute pancreatitis in all 15.7% of the cases on which it was performed; d) medical therapy alone was performed in 43.1%, associated with the peritoneal lavage in 10.5% and with surgical therapy in 46.4%; e) indication for surgical therapy was a doubtful diagnosis in 32.4%, clinical-laboratory deterioration in 8.5%, treatment of associated biliary pathology in 47.9%, pancreatic abscess in 5.6% and pancreatic pseudocyst also in 5.6%; f) surgical treatment of the biliary tract was performed in 67%, with an operative mortality of 2.1%.(ABSTRACT TRUNCATED AT 250 WORDS) |
publishDate |
1995 |
dc.date.none.fl_str_mv |
1995-12-31 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
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publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2784 oai:ojs.www.actamedicaportuguesa.com:article/2784 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2784 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/2784 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2784 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2784/2174 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
dc.publisher.none.fl_str_mv |
Ordem dos Médicos |
publisher.none.fl_str_mv |
Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 8 (1995): Suplemento 1; S21-9 Acta Médica Portuguesa; Vol. 8 (1995): Suplemento 1; S21-9 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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