Journals / Bakırköy Tıp Dergisi / 2009 / Cilt: 5 - Sayı: 1

Treatment of recurrent biliary pancreatitis

Tekrarlayan biliyer pankreatitlerde tedavi

Pages
25–27
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Conclusion: We advocate early cholecystectomy that is performed prior to discharge for the definitive treatment of acute biliary pancreatitis, unless the disease have a severe course, and if the procedure can be carried out with acceptable complication rates.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: The effect of timing of cholecystectomy procedure for the definitive treatment of acute biliary pancreatitis on recurrent episodes is reviewed.
📊
Key Findings & Data:Material and Method: 277 patients were admitted to our hospital for acute biliary pancreatitis between January 2007 and January 2009.
💡
Conclusion & Impact:Conclusion: We advocate early cholecystectomy that is performed prior to discharge for the definitive treatment of acute biliary pancreatitis, unless the disease have a severe course, and if the procedure can be carried out with acceptable complication rates.
🔬Design:Review & Systematic Survey
📍Scope:2007 Verileri
⚙️Variables:Tekrarlama · Kolesistektomi · Pankreatit

Abstract

Objective: The effect of timing of cholecystectomy procedure for the definitive treatment of acute biliary pancreatitis on recurrent episodes is reviewed. Material and Method: 277 patients were admitted to our hospital for acute biliary pancreatitis between January 2007 and January 2009. We reviewed the medical records of 42 patients who have been proven to have a recurrent episode among these 277 patients. Results: Of these 42 patients, 8 (%21) had the recurrent episode within the 8 week interval. The rest had been scheduled for cholecystectomy procedure, however, they either ignored or postponed their appointment, and had the recurrent episode within the long term. Conclusion: We advocate early cholecystectomy that is performed prior to discharge for the definitive treatment of acute biliary pancreatitis, unless the disease have a severe course, and if the procedure can be carried out with acceptable complication rates.

Özet

Amaç: Biliyer pankreatitlerin kesin tedavisi için uygulanan kolesistektominin zamanlamasının tekrarlayan ataklar üzerine etkisi gözden geçirildi. Gereç ve Yöntem: Hastanemizde Ocak 2007 ile Ocak 2009 tarihleri arasında akut biliyer pankreatit tanısı ile tedavi edilen 277 hastanın 42’si tekrarlayan atakla başvurmuştu. Bu 42 hastanın epidemiyolojik dağılımı, biyokimyasal parametreleri ve ataklar arası süreleri karşılaştırıldı. Bulgular: 42 hastadan 8’inin (%21) taburcu olduktan sonraki ilk 8 haftalık zaman aralığında ikinci bir atağa maruz kaldıkları tespit edildi. Geriye kalan hastaların geç kolesistektomi randevularına gelmedikleri ve uzun dönemde tekrarlayan atak geçirdikleri saptandı. Sonuç: Hafif ve orta şiddetteki akut biliyer pankreatit olgularında, kabul edilebilir komplikasyon oranları ile erken kolesistektomi uygulanabilir tedavi seçeneğidir

🔖

Cite This Article

TURHAN, A. N., KAPAN, S., GÖNENÇ, M., ÖNER, O. Z., ALIŞ, H., DOLAY, K., AYGÜN, E. (2009). Treatment of recurrent biliary pancreatitis. Bakırköy Tıp Dergisi, Cilt: 5 - Sayı: 1, 25–27. https://ajindex.com/articles/131205

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (16)

  1. Cuschieri A, Dubois F, Mouiel J, et al. The European experience with laparoscopic cholecystectomy. Am J Surg 1991; 161: 385-387
  2. Heinrich S, Schafer M, Rousson V, Clavien PA. Evidence-based treatment of acute pancreatitis: a look at established paradigms. Ann Surg 2006; 243: 154-168
  3. Sargen K, Kingsnorth AN. Management of gallstone pancreatitis: effects of deviation from clinical guidelines. JOP 2001; 2: 317-322
  4. Yadav D, Lowenfels AB. Trends in the epidemiology of the first attack of acute pancreatitis: a systematic review. Pancreas 2006; 33: 323-330
  5. Ito K, Ito H, Whang EE. Timing of cholecystectomy for biliary pancreatitis: do the data support current guidelines? J Gastrointest Surg 2008; 12: 2164-2170
  6. Cheruvu CV, Eyre-Brooke IA. Consequences of prolonged wait before gallbladder surgery. Ann R Coll Surg Engl 2002; 84: 20-22
  7. Papi C, Catarci M, D’Ambrosio L, et al. Timing of cholecystectomy for acute calculous cholecystitis: A meta-analysis. Am J Gastroenterol 2003; 99: 147-155
  8. Suter M, Meyer A. A 10-year experience with the use of laparoscopic cholecystectomy for acute cholecystitis; is it safe? Surg Endosc 2001; 15: 1187-1192
  9. Cameron IC, Chadwick C, Phillips J, Johnson AG. Acute cholecystitis – room for improvement? Ann R Coll Surg Engl 2002; 84: 10-13
  10. Mayer AD, McMahon MJ, Benson EA, Axon AT. Operations upon the biliary tract in patients with acute pancreatitis: aims, indications and timing. Ann R Coll Surg Engl 1984; 66: 179-183
  11. Ong SK, Christie PM, Windsor JA. Management of gallstone pancreatitis in Auckland: progress and compliance. ANZ J Surg 2003; 73: 194-199
  12. Griniatsos J, Karvounis E, Isla A. Early versus delayed single stage laparoscopic eradication for both gall stones and common bile duct stones in mild acute biliary pancreatitis. Am Surg 2005; 71: 682-686
  13. Alimoglu O, Ozkan OV, Sahin M, Akcakaya A, Eryilmaz R, Bas G. Timing of cholecystectomy for acute biliary pancreatitis: outcomes of cholecystectomy on first admission and after recurrent biliary pancreatitis. World J Surg 2003; 27: 256-259
  14. Singhal T, Balakrishnan S, Grandy-Smith S, Hunt J, Asante M, El-Hasani S. Gallstones: Best served hot. JSLS 2006; 10: 332-335
  15. Taylor E, Wong C. The optimal timing of laparoscopic cholecystectomy in mild gallstone pancreatitis. Am Surg 2004; 70: 971-975
  16. Lai PBS, Kwong KH, Leung KL, et al. Randomised trial of early versus delayed laparoscopic cholecystectomy for acute cholecystitis. Br J Surg