ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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ORIGINAL RESEARCH ARTICLES |
Do Improvements In Diagnostic And Therapeutic Modalities Affect The Prognosis Of Acute Pancreatitis?
Dr. Selçuk HAZİNEDAROĞLU,a Dr. Hüseyin Ayhan KAYAOĞLU,b Dr. Kaan KARAYALÇINa
aGenel Cerrahi AD, Ankara Üniversitesi Tıp Fakültesi, ANKARA
bGenel Cerrahi AD, Gaziosmanpaşa Üniversitesi Tıp Fakültesi, TOKAT
Objective: The purpose of this study was to determine, by the analysis of literature data, the effects of improved diagnostic and therapeutic modalities on the success rate of the management of patients with acute pancreatitis during the last four years.
Material and Methods: The medical records of 47 patients (35 female), diagnosed with acute pancreatitis and admitted to the Department of General Surgery and Emergency Service of Ankara University Medical Faculty, were reviewed retrospectively.
Results: Mean age of the patients was 59.04 (30-89). Mean blood and urine amylase levels were 1239.205 (37-3538) and 2349.031 (59-25401), respectively. Blood and urine amylase levels were normal in four and three patients, respectively, during the initial evaluation. Forty-three patients had oedematous (91%) and four patients had necrotizing pancreatitis. Thirty-one patients were treated medically and 16 surgically. The mortality rate was 19% of which four were from the surgically treated group. Mean hospital stay was 20.7 days.
Conclusion: Acute pancreatitis appears to be predominantly a disease of the elderly. There is usually at least one co-existing disease in more than half of the patients. In spite of ongoing technological advances in diagnosis and treatment, acute pancreatitis remains a disease with high morbidity and mortality.Keywords: Pancreatitis, acute necrotizing, diagnosis, therapeuticsTurkiye Klinikleri J Med Sci 2005, 25:383-386
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