PL EN


Preferences help
enabled [disable] Abstract
Number of results
2012 | 84 | 2 | 70-75
Article title

Epidemiological Characteristic of Acute Pancreatitis in Trzebnica District

Content
Title variants
Languages of publication
EN
Abstracts
EN
Acute pancreatitis is one of the most common surgical disease, and thus cause of hospitalization. Incidence and etiology of this condition demonstrates large regional differences. This situation is a substantial financial burden forhospital district, and changes in organization structure and funding medical service should be taken under consideration.The aim of the study was to record the epidemiology with etiology, diagnosis and treatment of acute pancreatitis in large district (77 000 inhabitants).Material and methods. A meta-analysis study of all 298 patients admitted to Hospital St Hedwig in Trzebnica, in the six-year period from 2005 to 2010, with acute pancreatitis was performed.Results. Acute pancreatitis was diagnosed in 298 patients in the six - year period, giving an estimated incidence of 64.4 per 100 000. Among the group of 441 admissions for acute pancreatitis in 298 patients was confirmed. Severe acute pancreatitis developed in 22.5% (67/298) of patients, more often in males 56/208 (27%) than in females 11/90 (12%). Gallstones were found as an etiological factor in 27% (80/298), and alcohol intake in 49% of patients. 211/298 (70%) patients had only one attack, whereas 29% (87/298) were readmitted with 230 relapses. The risk of recurrent pancreatitis was 48% in alcohol induced and 6,25% in gallstone induced pancreatitis. 53/298 patients (17%) were operated, ERCP procedures were performed in 24.Performed operations: necrosectomy in 25/53 (47%), elective cholecystectomy in 16/53 (30%), open drainage of abdominal abscess in 5/53 (9%), open drainage of cysts in 5/53 (9%), Jurasz's operation in 2/53 (3%). Majority surgical treatment was carried out in 68% cases with severe acute pancreatitis. Mortality due to acute pancreatitis was 3% (10/298); 15% in severe pancreatitis.Conclusions. 1. Acute pancreatitis continues to be an important clinical problem. 2. Severe, necrotic acute pancreatitis is associated with high mortality rates. 3. The ethanol-intake-related episodes of acute pancreatitits are much more prevalent than the gall-stone-related ones. 4. After the exclusion of ethanol- and gall-stones-related etiologies, the subsequent diagnostic process should aim at excluding neoplastic process of the head of pancreas.
Publisher

Year
Volume
84
Issue
2
Pages
70-75
Physical description
Dates
published
1 - 2 - 2012
online
9 - 4 - 2012
Contributors
  • Department of General Surgery, Hospital St Hedwig of Silesia in Trzebnica
  • Department of General Surgery, Hospital St Hedwig of Silesia in Trzebnica
  • Department of General Surgery, Hospital St Hedwig of Silesia in Trzebnica
  • Department of General Surgery, Hospital St Hedwig of Silesia in Trzebnica
References
  • Tran DD, van Schilfgaarde R: Prevalence and mortality from acute pancreatitis in the Netherlands during 1971-1990. Digestion 1994; 55: 342-43
  • Thompson SR, Hendry WS, Mc Farlane GA et al.: Epidemiology and outcome of acute pancreatitis. Br J Surg 1987; 47: 398-401.
  • Appelros S, Borgström A: Incidence, aetiology and mortality rate of acute pancreatitis over 10 years in a defined urban population in Sweden. Br J Surg 1999; 86: 456-70.
  • Halvorsen FA, Ritland S: Acute pancreatitis in Buskerud country, Norway. Scand J Gastroenterol 1996; 31: 411-14.[Crossref]
  • Jaakkola M, Nordback I: Pancreatitis in Finland between 1970 and 1989. Gut 1993; 34: 1255-60.
  • Banks PA. Epidemiology, natural history, and predictors of disease outcome in acute and chronic pancreatitis. Gastrointest Endosc 2002; 56(6 Suppl): S226-30.[Crossref]
  • Gullo L, Migliori M, Olah A et al.: Acute pancreatitis in five European countries: etiology and mortality. Pancreas 2002; 24(3): 223-27.[PubMed][Crossref]
  • Cavallini G, Frulloni L, Bassi C et al.: Prospective multicentre survey on acute pancreatitis in Italy (ProInf-AISP): results on 1005 patients. Dig Liver Dis. 2004 Mar; 36(3): 205-11.[PubMed][WoS][Crossref]
  • Ludność. Stan i struktura w przekroju terytorialnym. Stan w dniu 30 VI 2010.
  • Alhajeri A, Erwin S: Acute pancreatitis: value and impact of CT severity index. Abdom Imaging 2008 Jan-Feb; 33(1): 18-20.[PubMed][Crossref][WoS]
  • Mortele KJ, Wiesner W, Intriere L et al.: A modified CT severity index for evaluating acute pancreatitis: improved correlation with patient outcome. AJR Am J Roentgenol. 2004 Nov; 183(5): 1261-65.[Crossref][PubMed]
  • Sieklucki J, Krześnia N: Postępowanie w ostrym zapaleniu trzustki - doświadczenia Kliniki Chirurgii. Borgis - Postępy Nauk Medycznych 3/2009, s. 180-84.
  • Andersen AM, Novovic S, Ersboll AK et al.: Mortality in alcohol and biliary acute pancreatitis. Pancreas 2008; 36: 432-34.[WoS][PubMed][Crossref]
  • Andersen AM, Novovic S, Ersbøll AK et al.: Mortality and morbidity in patients with alcohol and biliary-induced acute pancreatitis. Ugeskr Laeger. 2007 Dec 10; 169(50): 4351-54. Abstract
  • Otto W, Paluszkiewicz R, Suchowera D et al.: Powikłania ropne w ostrym martwiczym zapaleniu trzustki. Pol Przegl Chir 1998, 70(6): 597-607.
  • Ranson JHC, Spencer FC: The role of peritoneal lavage in severe acute pancreatitis. Ann Surg 1978; 187: 565-75.
  • Dragonetti GC, Licht H, Rubin W: Pancreatitis. Evaluation and treatment. Prim Care 1996; 23: 525-34.[Crossref][PubMed]
  • Tietz NW: Support of the diagnosis of pancreatitis by enzyme tests-old problems, new techniques. Clin Chem Acta 1997; 257: 85-98.
  • Jha r. K., Ma Q., Sha H et al.: Acute pancreatitis: a literature review. Med Sci Monit 2009; 15: 147-56.
  • Wang G J, Gao CF., Wei D: Acute pancreatitis: etiology and common pathogenesis. World J. Gastroenterol 2009; 28: 1427-30.[Crossref][WoS]
  • Cavallini G, Frulloni L, Bassi C et al.: Prospective multicentre survey on acute pancreatitis in Italy (ProInf-AISP): results on 1005 patients. Dig Liver Dis 2004; 36: 205-11.[PubMed][WoS][Crossref]
  • Ros E, Navarro S, Bru C et al.: Occult microlithiasis in ‘idiopathic’ acute pancreatitis: prevention of relapses by cholecystectomy or ursodeoxycholic acid therapy. Gastroenterol 1991 Dec; 101(6): 1701-9
  • Tandon M, Topazian M: Endoscopic ultrasound in idiopathic acute pancreatitis. The Am J Gastroenterol 96(3): Mar 2001; 705-09.
  • Shanbhogue AK, Fasih N, Surabhi VR et al.: A clinical and radiologic review of uncommon types and causes of pancreatitis. Radiographics 2009 Jul-Aug; 29(4): 1003-26.[PubMed][WoS][Crossref]
  • Saraswat VA, Sharma BC, Agarwal DK et al.: Biliary microlithiasis in patients with idiopathic acute pancreatitis and unexplained biliary pain: response to therapy. J Gastroenterol Hepatol 2004 Oct; 19(10): 1206-11.[Crossref][PubMed]
  • Chebli JM, Ferrari Júnior AP, Silva MR et al.: Biliary microcrystals in idiopathic acute pancreatitis: clue for occult underlying biliary etiology. Arq Gastroenterol 2000 Apr-Jun; 37(2): 93-101.[PubMed][Crossref]
  • Lin A, Feller ER: Pancreatic carcinoma as a cause of unexplained pancreatitis: report of ten cases. Ann Intern Med 1990; 113: 166-67.[Crossref][PubMed]
Document Type
Publication order reference
Identifiers
YADDA identifier
bwmeta1.element.-psjd-doi-10_2478_v10035-012-0011-6
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.