SURGICAL-MANAGEMENT OF ACUTE-PANCREATITIS

被引:36
作者
POSTON, GJ [1 ]
WILLIAMSON, RCN [1 ]
机构
[1] HAMMERSMITH HOSP,ROYAL POSTGRAD MED SCH,DEPT SURG,LONDON W12 0NN,ENGLAND
关键词
Acute pancreatitis; mortality; non‐operative treatment; surgery;
D O I
10.1002/bjs.1800770104
中图分类号
R61 [外科手术学];
学科分类号
摘要
This review examines the lack of improvement in terms of mortality and outcome in patients with acute pancreatitis. Energetic fluid replacement is the only treatment of proven value. There is a strong case for identification of patients with severe disease who may benefit from early operative intervention. Eradication of gallstones may prevent further attacks in patients with gallstone pancreatitis. The benefits of pancreatic resection and necrosectomy still require full evaluation. Copyright © 1990 British Journal of Surgery Society Ltd.
引用
收藏
页码:5 / 12
页数:8
相关论文
共 145 条
[71]  
LAWSON TL, 1983, RADIOL CLIN N AM, V21, P495
[72]   ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY IN THE MANAGEMENT OF PANCREATIC PSEUDOCYSTS [J].
LAXSON, LC ;
FROMKES, JJ ;
COOPERMAN, M .
AMERICAN JOURNAL OF SURGERY, 1985, 150 (06) :683-686
[73]   MULTICENTER CLINICAL-TRIAL OF LOW-VOLUME FRESH-FROZEN PLASMA THERAPY IN ACUTE-PANCREATITIS [J].
LEESE, T ;
HOLLIDAY, M ;
HEATH, D ;
HALL, AW ;
BELL, PRF .
BRITISH JOURNAL OF SURGERY, 1987, 74 (10) :907-911
[74]   CONTRAST-ENHANCED ABDOMINAL COMPUTED-TOMOGRAPHY SCANNING AND PREDICTION OF SEVERITY OF ACUTE-PANCREATITIS - A PROSPECTIVE-STUDY [J].
LONDON, NJM ;
NEOPTOLEMOS, JP ;
LAVELLE, J ;
BAILEY, I ;
JAMES, D .
BRITISH JOURNAL OF SURGERY, 1989, 76 (03) :268-272
[75]   PANCREATIC PSEUDOCYST - MANAGEMENT BY ULTRASONICALLY GUIDED ASPIRATION [J].
MACERLEAN, DP ;
BRYAN, PJ ;
MURPHY, JJ .
GASTROINTESTINAL RADIOLOGY, 1980, 5 (03) :255-257
[76]   SURGICAL PATHOLOGY AT EARLY ELECTIVE OPERATION FOR SUSPECTED ACUTE GALLSTONE PANCREATITIS - PRELIMINARY-REPORT OF A PROSPECTIVE CLINICAL-TRIAL [J].
MACKIE, CR ;
WOOD, RAB ;
PREECE, PE ;
CUSCHIERI, A .
BRITISH JOURNAL OF SURGERY, 1985, 72 (03) :179-181
[77]  
Maier W, 1987, ACUTE PANCREATITIS, P132
[78]  
MARX M, 1987, GASTROINTEST ENDOSC, P213
[79]  
MAYER AD, 1984, ANN ROY COLL SURG, V66, P179
[80]   CONTROLLED CLINICAL-TRIAL OF PERITONEAL-LAVAGE FOR THE TREATMENT OF SEVERE ACUTE-PANCREATITIS [J].
MAYER, AD ;
MCMAHON, MJ ;
CORFIELD, AP ;
COOPER, MJ ;
WILLIAMSON, RCN ;
CHIR, M ;
DICKSON, AP ;
SHEARER, MG ;
IMRIE, CW .
NEW ENGLAND JOURNAL OF MEDICINE, 1985, 312 (07) :399-404