RESUMO
Background: Literature reports from Western countries suggest an increasing incidence of acute pancreatitis (AP) and changing pattern over the past two decades. The aim of thisstudy was to document the incidence; aetiology and mortality from AP over two decades and to examine any emerging trends.Methods: A retrospective study of all confirmed cases of AP admitted over a 20-year period to thesurgical department was performed. Patients' demographics; year of admission;number of attacks; aetiology; management and outcome were entered on a specialstudy proforma.Results: Altogether 707 attacks of AP (M: F; 5.7: 1) were recorded. The proportion of gallstone APincreased (3.1to 12.7) and that of alcohol-related AP decreased (84to 67.6). Alcohol was themain aetiological factor for AP. Drugs; hyperlipidaemia; human immunodeficiency virus (HIV) andendoscopic pancreatography-related AP increased in the second decade. The in-hospital mortality rateduring the respective periods was 6.5and 3.1.Conclusion: Gallstone AP increased during second decade from more Caucasian admissions and increased gallstones among Blacks. The reduced mortality was attributed to changing trends in the nature and aetiology of AP recorded; heightened awareness of the condition and improved management
Assuntos
Pancreatite/classificação , Pancreatite/epidemiologia , Pancreatite/etiologiaRESUMO
Cette etude a porte sur 118 diabetiques suivis au Service Medecine Interne B du Centre Hospitalier de Libreville de novembre 1991 a janvier 1993. Parmi ces patients les auteurs ont trouve 16 cas de pancreatites chroniques calcifiantes tous sexes confondus soit 13;5 pour cent des cas mais 15 etaient des hommes soit 22;7 pour cent des diabetiques masculins. Cette prevalence elevee pose le probleme etiologique
Assuntos
Doença Crônica , Diabetes Mellitus/etiologia , PancreatiteRESUMO
La pancreatite chronique calcifiante (P.C.C.) est decrite comme une cause relativement frequente du diabete sucre (D.S.) en zone tropicale. L'etiologie dominante de cette P.C.C. est la malnutrition suivie de l'alcoolisme. Un seul element aide au diagnostic: c'est le cliche de l'abdomen sans preparation. 24 dossiers ont ete selectionnes parmi les malades hospitalises dans le service des maladies metaboliques et endocriniennes du C.H.U. de Brazzaville
Assuntos
Alcoolismo , Diabetes Mellitus , Distúrbios Nutricionais , Pancreatite/diagnóstico , Pancreatite/diagnóstico por imagem , Pancreatite/etiologia , Medicina TropicalRESUMO
The autopsy incidence of acute pancreatitis as a cause of death in Uganda is similar to that seen in the U.S.A. The aetiological factors in acute pancreatitis in Uganda appears to be different from those in the western world. In 21 out of 26 patients (81 percent) whose cause of death was acute pancreatitis the aetiology of the pancreatitis was not determined. About 21 patients had associated chronic pancreatic disease