ABSTRACT
A review of 221 patients operated on for acute pancreatitis during a 16 year period showed that women predominated 2:1. This is explained by the common occurrence of biliary stones in Algerian women. In more than half the patients, primary symptoms were biliary. Only 56 percent of diagnoses were established preoperatively. Acute edematous pancreatitis predominated, occurring in 58 percent, with necrotic pancreatitis occurring in 42 percent. Edematous pancreatitis was most often treated by biliary procedures and infiltration and draining of the pancreatic area. Necrotic forms were treated by necrotectomy, whereas segmental pancreatectomy was performed in seven patients. Postoperative mortality was 9.4 percent in the whole group but 37 percent in those with necrotic hemorrhagic pancreatitis. It is noteworthy that alcoholism, which is rare in Algeria, was the cause of pancreatitis in only six patients (3 percent). The main cause was biliary disease.
Subject(s)
Pancreatitis/epidemiology , Acute Disease , Adult , Algeria , Cholelithiasis/complications , Female , Humans , Male , Middle Aged , Pancreatitis/etiology , Pancreatitis/surgeryABSTRACT
From 1972 to 1981, 430 patients were treated for bleeding peptic ulcer. Two hundred ten of the patients were treated surgically and 220 medically. In the surgically treated patients, mortality was high among those with posterior duodenal peptic ulcer and after gastrectomy rather than after vagotomy. Mortality after emergency operations was also high. The incidence of rebleeding was similar after gastrectomy and after vagotomy. In the medically treated patients, mortality was high among those who were elderly.
