ACUTE RECURRENT PANCREATITIS MAY HAVE A INDICATION FOR SURGICAL TREATMENT?

• Main Authors: Eduard Cristian Popa, Alexandra Popa, Mihai Ierima, Cristina Pîrvulescu, Ruxandra Avram, Sorin Păun, Bogdan Gaspar, Ioan Tănase, Alexandru Laurențiu Chiotoroiu
• Format: Article
• Language: English
• Published: Amaltea Medical Publishing House 2019-12-01
• Series: Romanian Medical Journal
• Subjects: acute recurrent pancreatitis; chronic pancreatitis; non-surgical treatment
• Online Access: https://revistemedicale.amaltea.ro/Romanian_MEDICAL_Journal/Revista_MEDICALA_ROMANA-2019-Nr.4/RMJ_2019_4_Art-16.pdf
• ISSN: 1220-5478; 2069-606X

Repeated episodes of acute pancreatitis can lead to chronic pancreatitis. Retrospective study that include the patients admitted to hospital with diagnosis of acute pancreatitis, with at least one episode of acute pancreatitis in medical history, in General Surgery Clinic of the Bucharest Emergency Clinical Hospital during January 2016 – December 2018. From the total of 77 patients admitted to hospital with diagnosis of acute pancreatitis, with at least one episode of acute pancreatitis in medical history, from a ethiological point of view of the acute episode, dietary excces was found in 57% of cases, 30% being chronic consumers ethanol, 14% of patients were obese, 22% had diabetes (half of them with poor blood glucose control), 8% had severe complications during hospitalization, 5% requiring surgery. The mortality rate among patients with acute recurrent pancreatitis was 2.6%. In the study group, recurrent episodes of pancreatitis were more frequent in males (74%), especially associated with obesity and alcohol consumption. The success rate of conservative treatment was 95%, even in the presence of episodes of acute pancreatitis and comorbidities. Acute recurrent pancreatitis is a disease that affects decades of age 50-60 years. It mainly targets male patients in the context of obesity and alcohol consumption. Patients who had diabetes mellitus with poor control had a poor development. The main treatment remains conservative, with a positive response for 95%, of the patients included in the study.