J.Jpn. Surg. Soc.. 81(9): 949-952, 1980

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Report on the annual meeting

SEVERITY AND TREATMENT IN ACUTE PANCREATITIS

153 cases of acute pancreatitis were collected from our clinic and the affiliated hospitals, and analyzed on the severity and results of surgical treatment. On etiology, 26.8% were alcoholic, 26.1% gallstone, 9.2% trauma, 6.5% post-operative, 1.9% mumps, 1.3% ampullary carcinoma and 28.1% unknown. On pathological findings obtained from 64 operated cases, 59.4% were edematous, 17.2% hemorrhagic, 12.5% necrotic and 10.9% septic. The mortality of all was 7.2%, including 15.0% in gallstone, 20.0% in post-operative, 6.9% in unknown and none in the others. Pathologically, it was none in edematous, 36.4% in hemorrhagic, 37.5% in necrotic and 57.0% in septic. From physical signs, jaundice, cutaneous lesions, cerebral abnormalities and shock were observed in severe pancreatitis. From laboratory data, more than 200 mg/dl of blood glucose, 600 i.u./l of LDH, 40 mg/dl of BUN,5.0 mg/dl of total bilirubin in serum, and below 7.5 mg/dl of serum calcium and 90 mmHg in blood pressure were considered as severe pancreatitis. After surgery, the mortality of all was 17.2%, including 26.5% with peritoneal drainage, 25.0% with biliary decompression alone, and none with both procedures.

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