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Tytuł pozycji:

Is Early or Late Surgical Intervention More Beneficial in Acute Necrotizing Pancreatitis?

Tytuł :
Is Early or Late Surgical Intervention More Beneficial in Acute Necrotizing Pancreatitis?
Autorzy :
Chen, Jia-Hong
Huang, Yu-Min
Chen, Hwa-Tzong
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Źródło :
Tzu Chi Medical Journal; Dec2008, Vol. 20 Issue 4, p286-290, 5p
Czasopismo naukowe
Abstract: Objective: Infective necrotizing pancreatitis is widely accepted as a surgical disease, but the appropriate timing of surgical intervention is controversial. Some authors prefer early surgery, while most consensus and guidelines agree that late surgery has more benefit. We reviewed our institutional experience in the surgical management of necrotizing pancreatitis, focusing on the results of early and late surgical intervention. Materials and Methods: Data for patients with necrotizing pancreatitis who underwent surgical intervention between July 1996 and June 2004 were analyzed. According to the timing of surgical intervention, they were subdivided into the early group (≤ 14 days after disease onset, 7 patients) and late group (> 14 days after disease onset, 11 patients). Results: Patients in the early surgery group had more operations (mean, 3.86 vs. 1.36; p = 0.0342) and a higher mortality rate (42.8%vs. 0%; p = 0.043) compared to the late surgery group. Conclusion: Our experience was that late surgery for necrotizing pancreatitis can lead to a lower mortality rate and is more beneficial to patients, which is in agreement with most consensus and guidelines. [Copyright &y& Elsevier]
Copyright of Tzu Chi Medical Journal is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

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