Recovery of patients with severe acute pancreatitis after non operative treatment / 中华肝胆外科杂志

ABSTRACT

Objective To observe the outcome and consequential treatment during recovery of patients with severe acute pancreatitis (SAP) after non operative treatment.Methods The data of the follow up for 1 to 12 years in 41 cases of SAP with pseudocyst of pancreas, recurrent pancreatitis, chronic abdominal pain and gallbladder stones examined with CT, ERCP, laparotomy or pancreatic tissue biopsy from 3 months to 2 years were retrospectively analyzed. Results Pseudocyst of pancreas was the main complication of SAP after non operative treatment. The absorption of necrotic tissues of pancreas and proliferation of fibrotic tissue took a slow course of 3 to 6 months. The long term excellent curative rate was 73.2% and the rate of abdominal pain or maldigestion was 24 4%. One patient died of recurrent pancreatitis (2 4%). Conclusions More attention should be paid to treating pseudocyst of pancreas, resecting the gallbladder stones in time and preventing or treating recurrent pancreatitis after the recovery from SAP.