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SEVERE PANCREATITIS—STILL A FREQUENTLY MORTAL ILLNESS
Author(s) -
Fielding G.
Publication year - 1987
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1987.tb01417.x
Subject(s) - medicine , pancreatitis , intensive care medicine , pediatrics , general surgery
The treatment of severe pancreatitis remains a challenge. Eighty‐six cases were retrospectively reviewed after treatment in intensive care units at two major brisbane hospitals between january 1980 and may 1986. Thirty‐three patients died. Sixty‐one patients had 97 operations, with 40% mortality. The severity of biliary and postoperative pancreatitis is highlighted. After early detection and aggressive resuscitation of severe cases, repeated debridement of necrotic pancreas and retroperitoneal slough may offer the best treatment. Marsupialization is an effective method of controlling sepsis after necrosectomy and abscess drainage.