SURGICALLY TREATED ACUTE PANCREATITIS: EVALUATION OF 51 PATIENTS

Abstract

This study was performed to determine the factors influencing the mortality and morbidity in surgically treated patients with acute pancreatitis. To know the risk factors and factors affecting mortality and morbidity is important for planning and evaluating the effectiveness of treatment, and determining prognosis. Hospital records of 51 patients, hospitalized between 1980-1998, with the operative diagnosis of acute pancreatitis were retrospectively investigated. Mortality and morbidity rates for all patients were %23.5 and 39.2 respectively. The most common operative indication was acute abdomen (%74.5) and deteriorating clinical condition (%19.6). Increased blood glucose and lactate dehydrogenase levels, decreased blood calcium and albumin levels, ileus and abdominal distension, diagnosis of hemorrhagic necrotizing pancreatitis were found to be the risk factors effecting mortality. Increased blood urea nitrogen (BUN), and decreased blood calcium level abdominal distension and infected necrotizing pancreatitis were the risk factors effecting morbidity. In case of interstisial pancreatitis mortality rate was decreasing (%15.2). We conclude that the most important factor determining mortality and morbidity was the presence of necrosis.