Acute pancreatitis: inflammatory effusions--course and prognosis.
Autor(a) principal: | |
---|---|
Data de Publicação: | 1989 |
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/3487 |
Resumo: | Ten to twenty per cent of Acute Pancreatitis (AP) attacks are severe and their evolution depends on regional or systemic complications and medical of surgical management applied. Three hundred and twelve cases of AP were retrospectively studied, 51 of which had pancreatic or peripancreatic effusions (early fluid effusion--14%; pseudocyst--14%; phlegmon--43% abscess--29%). Mortality in this group (33%) was greater than in the overall population (5.9%): Alcoholic etiology, concomitant systemic complications and early surgery were determinant factors. Prognostic criteria evaluated had a predictive value of about 80%. Fifty per cent of patients with phlegmon had spontaneous resolution after medical intensive care management. Diagnosis of secondary infection of pancreatic and peripancreatic necrosis is determinant for optimal surgical management. Mortality in abscess was 40%, greater when surgical drainage was done in the first two weeks of disease. |
id |
RCAP_6ddcdfda23dbea40013a3ecde1eea4cb |
---|---|
oai_identifier_str |
oai:ojs.www.actamedicaportuguesa.com:article/3487 |
network_acronym_str |
RCAP |
network_name_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository_id_str |
7160 |
spelling |
Acute pancreatitis: inflammatory effusions--course and prognosis.Pancreatite aguda: colecções inflamatórias--evolução e prognóstico.Ten to twenty per cent of Acute Pancreatitis (AP) attacks are severe and their evolution depends on regional or systemic complications and medical of surgical management applied. Three hundred and twelve cases of AP were retrospectively studied, 51 of which had pancreatic or peripancreatic effusions (early fluid effusion--14%; pseudocyst--14%; phlegmon--43% abscess--29%). Mortality in this group (33%) was greater than in the overall population (5.9%): Alcoholic etiology, concomitant systemic complications and early surgery were determinant factors. Prognostic criteria evaluated had a predictive value of about 80%. Fifty per cent of patients with phlegmon had spontaneous resolution after medical intensive care management. Diagnosis of secondary infection of pancreatic and peripancreatic necrosis is determinant for optimal surgical management. Mortality in abscess was 40%, greater when surgical drainage was done in the first two weeks of disease.Ten to twenty per cent of Acute Pancreatitis (AP) attacks are severe and their evolution depends on regional or systemic complications and medical of surgical management applied. Three hundred and twelve cases of AP were retrospectively studied, 51 of which had pancreatic or peripancreatic effusions (early fluid effusion--14%; pseudocyst--14%; phlegmon--43% abscess--29%). Mortality in this group (33%) was greater than in the overall population (5.9%): Alcoholic etiology, concomitant systemic complications and early surgery were determinant factors. Prognostic criteria evaluated had a predictive value of about 80%. Fifty per cent of patients with phlegmon had spontaneous resolution after medical intensive care management. Diagnosis of secondary infection of pancreatic and peripancreatic necrosis is determinant for optimal surgical management. Mortality in abscess was 40%, greater when surgical drainage was done in the first two weeks of disease.Ordem dos Médicos1989-10-30info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/3487oai:ojs.www.actamedicaportuguesa.com:article/3487Acta Médica Portuguesa; Vol. 2 No. 4-5 (1989): Agosto-Outubro; 189-94Acta Médica Portuguesa; Vol. 2 N.º 4-5 (1989): Agosto-Outubro; 189-941646-07580870-399Xreponame: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/3487https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/3487/2777Deus, J RMarques, ASantos, PCésar, MTavora, ICorreia, J Pinfo:eu-repo/semantics/openAccess2022-12-20T11:02:16Zoai:ojs.www.actamedicaportuguesa.com:article/3487Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:18:22.844692Repositório 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 |
Acute pancreatitis: inflammatory effusions--course and prognosis. Pancreatite aguda: colecções inflamatórias--evolução e prognóstico. |
title |
Acute pancreatitis: inflammatory effusions--course and prognosis. |
spellingShingle |
Acute pancreatitis: inflammatory effusions--course and prognosis. Deus, J R |
title_short |
Acute pancreatitis: inflammatory effusions--course and prognosis. |
title_full |
Acute pancreatitis: inflammatory effusions--course and prognosis. |
title_fullStr |
Acute pancreatitis: inflammatory effusions--course and prognosis. |
title_full_unstemmed |
Acute pancreatitis: inflammatory effusions--course and prognosis. |
title_sort |
Acute pancreatitis: inflammatory effusions--course and prognosis. |
author |
Deus, J R |
author_facet |
Deus, J R Marques, A Santos, P César, M Tavora, I Correia, J P |
author_role |
author |
author2 |
Marques, A Santos, P César, M Tavora, I Correia, J P |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Deus, J R Marques, A Santos, P César, M Tavora, I Correia, J P |
description |
Ten to twenty per cent of Acute Pancreatitis (AP) attacks are severe and their evolution depends on regional or systemic complications and medical of surgical management applied. Three hundred and twelve cases of AP were retrospectively studied, 51 of which had pancreatic or peripancreatic effusions (early fluid effusion--14%; pseudocyst--14%; phlegmon--43% abscess--29%). Mortality in this group (33%) was greater than in the overall population (5.9%): Alcoholic etiology, concomitant systemic complications and early surgery were determinant factors. Prognostic criteria evaluated had a predictive value of about 80%. Fifty per cent of patients with phlegmon had spontaneous resolution after medical intensive care management. Diagnosis of secondary infection of pancreatic and peripancreatic necrosis is determinant for optimal surgical management. Mortality in abscess was 40%, greater when surgical drainage was done in the first two weeks of disease. |
publishDate |
1989 |
dc.date.none.fl_str_mv |
1989-10-30 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/3487 oai:ojs.www.actamedicaportuguesa.com:article/3487 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/3487 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/3487 |
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/3487 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/3487/2777 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
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. 2 No. 4-5 (1989): Agosto-Outubro; 189-94 Acta Médica Portuguesa; Vol. 2 N.º 4-5 (1989): Agosto-Outubro; 189-94 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 |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
_version_ |
1799130635666718720 |