Acute gallstone pancreatitis: a constant challenge for the surgeon

Papavramidis, Theodossis S; Zandes, Nikolaos; Hatzimisios, K.; Koutsimani, Th.; Kehagia, F.; Agorastou, Polyxeni; Doulgerakis, M.; Patoulidis, I.

doi:10.1007/s12262-008-0064-2

Cited by 3 publications

(5 citation statements)

References 16 publications

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“…Our findings have suggested that even conservative management of acute biliary pancreatitis can lead to excellent outcomes. The mortality rates that we have reported are comparable to those shown by studies from developed countries [21][22][23][24].…”

Section: Discussionsupporting

confidence: 88%

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Acute Biliary Pancreatitis: An Experience in a Tertiary Level Hospital of Nepal

et al. 2012

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Acute Biliary Pancreatitis is one of the commonest forms of pancreatitis in Nepal. Controversies exist as to the most appropriate way of management of these cases. The present study was carried out to evaluate the management and outcome of Acute Biliary Pancreatitis cases in a tertiary level hospital of Nepal. A retrospective analysis of the patients managed with Acute Biliary Pancreatits was done. All patients admitted with the diagnosis of Acute Biliary Pancreatitis over a period of 2 years were included in the study. The variables measured were age, sex, clinical presentation, laboratory investigations, mode of treatment and outcome. A total of 45 cases had Acute Biliary Pancreatitis suggesting a prevalence of 28 %. The mean age was 45±10 year. 39 patients (86.6 %) were treated with conservative management. 23 patients (54 %) had an uneventful recovery without any complications. 21 patients (46 %) developed some form of complications but recovered successfully. Mortality was seen in only one patient in the conservatively treated group. In a resource poor setting such as Nepal, definitive management is not always possible. Conservative management of Acute Biliary Pancreatitis has a favorable outcome in the majority of our patients with acceptable morbidity and mortality. Definitive management can be safely performed during index admission where possible.

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Section: Discussionsupporting

confidence: 88%

“…The mortality rate in the conservatively treated group was 2.5 % (n01). Other studies have reported complication rates from 15 to 40 % [9,22].…”

Section: Discussionmentioning

confidence: 99%

Acute Biliary Pancreatitis: An Experience in a Tertiary Level Hospital of Nepal

et al. 2012

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“…Aspartate aminotransferase was abnormal in 50% of patients in the present study, but in the studies of Papavramidis et al 27 and Mohammad R et al 28 abnormality was 25 % and 86.3 % respectively.…”

Section: Discussioncontrasting

confidence: 65%

“…Papavramidis TS et al 27 had similar observation, but Mohammad R et al 28 found epigastric pain in only 64.7% of their patients.…”

Section: Discussionmentioning

confidence: 72%

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Clinical Pattern of Acute Gallstone Pancreatitis in Manipur

Maibam¹,

Chongtham²,

T³

et al. 2015

jemds

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Acute pancreatitis occurs only in 4-8% of patients with gallstone disease and 50% acute pancreatitis recur within 1-6 months. As in other parts of country, the incidence of gallstone disease has been increasing in our region. This study has been carried out in our hospital to find out the disease pattern. MATERIALS AND METHODSAll the patients admitted with acute gallstone pancreatitis during the period were included. Various biochemical parameters and radiological investigations like x-ray, Ultrasonography (USG), Computerized Tomography (CT) of abdomen were done in all patients. The treatment plan was focused on adequate initial resuscitation, supportive care and early detection of complications. Duration of stay in the hospital, complications and followup were recorded. RESULTSThirty two patients were included in the study; 41-60 years was the most common age group. Male:Female ratio was 1:2.2. Meitei was most commonly affected ethnic group. Epigatric pain and tenderness were the most common clinical features. Most (75%) of the patient's serum amylase was above three times the upper normal limit. Ultrasonography diagnosed 75% of cases, whereas computerized tomography diagnosed 100%. Average hospital stay was 8 days. Complications included pleural effusion and pseudocyst. CONCLUSIONGenetic basis of occurrence of gallstone pancreatitis among the various ethnic groups of Manipur needs to be addressed. Serum amylase and ultrasonography were useful initial diagnostic modality. The acceptance of index cholecystectomy in our local population is very low and the awareness of treatment modalities has to be increased.

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Clinical Study of Demographic Profile, Etiology, Severity and Outcome of Acute Pancreatitis in a Tertiary Care Teaching Hospital in Northern India

Ahlawat¹,

Godara²

2018

J Gastrointest Dig Syst

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Acute gallstone pancreatitis: a constant challenge for the surgeon

Cited by 3 publications

References 16 publications

Acute Biliary Pancreatitis: An Experience in a Tertiary Level Hospital of Nepal

Acute Biliary Pancreatitis: An Experience in a Tertiary Level Hospital of Nepal

Clinical Pattern of Acute Gallstone Pancreatitis in Manipur

Clinical Study of Demographic Profile, Etiology, Severity and Outcome of Acute Pancreatitis in a Tertiary Care Teaching Hospital in Northern India

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