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  • Kirurško zdravljenje septičnih zapletov pankreatitisa = Surgical management of the septically involved pancreatitis
    Abramič, Pavle ; Sever, Marko, 1946- ; Rakovec, Slavko
    Background. Frequently, at the end of the first week after the beginning, the acute necrotizing pancreatitis (ANP) is septically involved. It is an incident, which is limited to the pancreatic gland ... itself or to the pancreas and its surrounding tissues, but when there is bacterial and/or toxic sepsis it affects the whole body. An exact rate prediction of the expected patients with the ANP in respect to all cases of the acute pancreatitis is not possible, because many cases with subclinical courses of the disease are not registered. Patients and methods. At the Surgical department for gastroenterology in Ljubljana all data of the patients with ANP, who needed any surgical intervention in the year 1994, were surveyed. Their incidency was compared to all pattients at the Clinical Centre in Ljubljana, where the acute pancreatitis was registered as a single diagnosis or as an accompanied diagnosis to the other diseases. The rate of the operated patients was 4.7%. Medical examinations, lab tests, and other diagnostic procedures give many precious data, but frequently at the operation the surgeon is confronted with a vaster decay than expected. During the operative procedure the specimens for bacteriologic analyses can be taken, and the necrectomy of the ANP or/and of the juxtapancreatic fat necrosis can be performed. Often the intraabdominal abscesses are localized far from the pancreatic gland, and they can be evacuated and drained suitably. Also the pancreatic region and even the whole peritoneal cavity can be washed out and the tubes for drainage should be set in such a way, that they suit also for the peritoneal dialysis after the operation, if necessary. So the conditions are made for recovery from the infection and from the disasterous disease. (Abstract truncated at 2000 characters.)
    Vir: Zdravniški vestnik : glasilo Slovenskega zdravniškega društva = Slovenian medical journal = journal of Slovenian Medical Association. - ISSN 1318-0347 (Let. 66, št. 2, 1997, str. 81-84)
    Vrsta gradiva - članek, sestavni del
    Leto - 1997
    Jezik - slovenski
    COBISS.SI-ID - 5200089

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