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Postoperative Pancreatitis

Postop Acute Pancreatitis


Presentation

  • In patients with pancreatitis, abdominal pain was the only presenting symptom in 62%, and GI bleeding was present in 29%. Eighty-seven percent had an associated pseudocyst or fluid collection.[jhu.pure.elsevier.com]
  • Four cases of suture-line dehiscence occurring during acute postoperative pancreatitis are presented. The possible causative role of the pancreatitis in the pathogenesis of these leaks is discussed.[ncbi.nlm.nih.gov]
  • RESULTS: Seven cases are presented, six with histological confirmation, of hyperparathyroidism associated with pancreatitis in a period when 137 confirmed cases of primary hyperparathyroidism were treated. None of these patients had gallstones.[ncbi.nlm.nih.gov]
  • Funding and Disclosures * Presented at the annual meeting of the New England Surgical Society, Stockbridge, Massachusetts, September 20, 1952.[nejm.org]
  • Lutz Badura, Hospital Eilenburg Summary: This case study reports on a 65-year-old female patient with underlying cholelithiasis undergoing a surgical procedure for severe necrotizing pancreatitis Case presentation Postoperatively progressing demand for[cytosorb-therapy.com]
Intravenous Administration
  • Intravenous administration of antishock means: hemotransfusion, Polyglucinum, purpose of cardiacs (Cordiaminum, strophanthin) have weak and short-term effect. More effective in these cases is introduction of high doses of a hydrocortisone.[infomeds.net]
  • Patients were sedated by intravenous administration of midazolam (0.08 mg/kg) and meperidine (10 mg). Duodenal atony was induced by intravenous administration of hyoscine butylbromide (10 mg).[wjgnet.com]
Feeding Difficulties
  • Patients with preoperative GERD with feeding difficulties and RAD had a higher risk of developing postoperative pancreatitis. Postoperative pancreatitis causes delays in feeding and increases the duration of hospitalization.[ncbi.nlm.nih.gov]
Cerebral Palsy
  • There are established risk factors for the development of postoperative pancreatitis for patients with scoliosis in general, but no such factors have been established in patients with cerebral palsy (CP) who have scoliosis.[ncbi.nlm.nih.gov]
Gastric Lavage
  • We included systematic gastric lavages in a complex of medical actions by cold solution of soda (2 — 3 times a day), enteroclyses in the form of siphon enemas. Perinephric novocainic and lumbar blockade (a zone of an abdominal brain) are useful.[infomeds.net]
Abdominal Pain
  • In patients with pancreatitis, abdominal pain was the only presenting symptom in 62%, and GI bleeding was present in 29%. Eighty-seven percent had an associated pseudocyst or fluid collection.[jhu.pure.elsevier.com]
  • The following day, the patient presented to his local emergency room complaining of severe abdominal pain and a low-grade fever.[anesthesiology.pubs.asahq.org]
  • On sharp falling of cardiovascular activity without acute abdominal pains as on the most characteristic symptom of acute postoperative pancreatitis, specify Massaioli (1967), Andre and others (1967).[infomeds.net]
  • PEC was characterized by a fever, leukocytosis, jaundice, hyperbilirubinemia and abdominal pain that were thought to have a biliary origin.[wjgnet.com]
  • Definition / general Acute onset of abdominal pain due to enzymatic necrosis and inflammation of pancreas ( Wikipedia: Acute Pancreatitis [Accessed 8 December 2017] ) Symptoms: abdominal pain, high white blood count, DIC, ARDS, diffuse fat necrosis, peripheral[pathologyoutlines.com]
Epigastric Pain
  • A 76-year-old woman was admitted complaining of epigastric pain lasting for several days. Duodenoscopy revealed a soft cystic-mass-like lesion covered with normal mucosa above the ampulla of Vater ([ Fig. 1 ]).[eref.thieme.de]
  • The predominant clinical symptom of patients with chronic pancreatitis is epigastric pain, which is sometimes difficult to manage by medication.[pancreas.imedpub.com]
Recurrent Vomiting
  • Delayed gastric emptying was defined as the need for a nasogastric tube or recurrent vomiting that prevented normal feeding on the 10th postoperative day.[scipers.com]
Systolic Murmur
  • On preoperative physical examination, he was noted to have a I/VI systolic murmur heard at the left sternal border without radiation. His lungs were clear to auscultation. His abdomen was soft, nontender, and without masses or organomegaly.[anesthesiology.pubs.asahq.org]
Ankylosis
  • Serum amylase level when admission predicts outcome of acute pancreatitis 尿澱粉酶水平與預后的關系 Effect of distraction osteogenesis combined with postoperative rehabilitation nursing on obstructive sleep apnea syn - drome after ankylosis of temporomandibular joint[dict.site]
Distractibility
  • Serum amylase level when admission predicts outcome of acute pancreatitis 尿澱粉酶水平與預后的關系 Effect of distraction osteogenesis combined with postoperative rehabilitation nursing on obstructive sleep apnea syn - drome after ankylosis of temporomandibular joint[dict.site]
Excitement
  • Quite often they note crazy states, an inadequate assessment of the events around, unmotivated actions, sharp motive excitement and aggression — all that keeps within concept of "postoperative psychosis".[infomeds.net]

Workup

  • Case Report An otherwise healthy 34-yr-old, 100-kg man was scheduled to undergo aspiration of the seminal vesicles as part of his workup for infertility. He was receiving no medications and had no known drug allergies.[anesthesiology.pubs.asahq.org]
Left Pleural Effusion
  • Chest x-ray revealed a small left pleural effusion, but the results were otherwise normal. Abdominal ultrasound showed no evidence of gallstones or biliary dilatation and minimal inflammation of the pancreas consistent with mild pancreatitis.[anesthesiology.pubs.asahq.org]

Treatment

  • Three consecutive CytoSorb treatment sessions of 23 hours each over a total period of 72 hours, separated from one another by a pause interval of 1 hours Cytosorb was used in conjunction with CRRT (machine Baxter BM11a/BM14) run in CVVHF mode Blood flow[cytosorb-therapy.com]
  • We have analyzed index changes of diastasis of urine and discharge from drainages in 314 patients (2002-2005), divided according to a treatment mode into 4 groups.[eng.ikar.udm.ru]
  • Significant updates on bariatric surgery, Barrett's esophagus, endoscopic ultrasound, endosonography, treatment of liver disease, and much more keep you current on the latest advances.[books.google.com]
  • Surgical and angiographic interventions are used in treatment; however, optimal therapy remains unclear. We hypothesized that the natural history of PSA is different in these discrete clinical settings.[jhu.pure.elsevier.com]
  • Treatment is administered to high risk patients (defined by high amount of acinar cells in the cut edge of pancreas).[clinicaltrials.gov]

Prognosis

  • Prognosis is poor and lethality is high and, consequently, the gastric or biliary operations involving the papilla of Vater or its region should be performed with particular caution.[ncbi.nlm.nih.gov]
  • Liver, Magnetic Resonance, Magnetic resonance imaging, pancreatic cancer, pancreatic fistula, Pancreatic necrosis, Pancreaticoduodenectomy, Pancreatitis, pancreatoduodenectomy, periampullary cancer, Portal vein resection, postoperative pancreatitis, Prognosis[scipers.com]

Etiology

  • Particular attention has been devoted to the manage ment of the more difficult therapeutic problems such as severe protracted pancreatitis, pancreatitis of unknown etiology, pancreatic pseudocyst, and pancreatic insufficiency.[books.google.com]
  • Smaller significance, than is attached earlier to gland injury as a direct etiological factor of this complication.[infomeds.net]
  • […] lysosomal hydrolases, which may activate them prematurely Alcohol may also reactivate chronic pancreatitis due to secretion of protein rich pancreatic fluid, which causes deposition of inspissated protein plugs, causing obstruction of small pancreatic ducts Etiology[pathologyoutlines.com]

Epidemiology

  • (Green) Food and Drug Administration, Center for Drug Evaluation and Research, Office of Epidemiology and Biostatistics, Rockville, Maryland. (Jones) Attending Physician, Vinton, Virginia.[anesthesiology.pubs.asahq.org]
  • […] junction ( Arch Pathol Lab Med 1985;109:433 ) Infected pancreatic necrosis: secondary infection of necrotic foci Postoperative pancreatitis: due to trauma of exploration of common bile duct, gastric resection, papillary stenosis plus sphincterotomy Epidemiology[pathologyoutlines.com]
Sex distribution
Age distribution

Pathophysiology

  • View Article PubMed Google Scholar Schmid RM, Adler G: Cytokines in acute pancreatitis-new pathophysiological concepts evolve. Eur J Gastroenterol Hepatol. 1999, 11 (2): 125-127. 10.1097/00042737-199902000-00012.[wjes.biomedcentral.com]
  • […] alcoholism Note: 1/3 to 2/3 of patients have gallstones but only 5% with gallstones develop pancreatitis 75% of gallstone related cases occur in women 86% of alcohol related cases occur in men Alcoholism associated: 2/3 of all cases in US, 5% in UK Pathophysiology[pathologyoutlines.com]
  • According to the pathophysiological processes, resective procedures have become most common as fundamental principles of surgical therapy in chronic pancreatitis.[pancreas.imedpub.com]

Prevention

  • The small number of patients who did not have operative cholangiograms prevented statistical evaluation of the effect of this procedure on the pancreas.[ncbi.nlm.nih.gov]
  • BACKGROUND/AIMS: Distal splenorenal shunt with splenopancreatic disconnection (DSRS SPD) evolved to prevent the development of a pancreatic siphon, to improve maintenance as well as quality of portal perfusion and to achieve better long-term survival.[ncbi.nlm.nih.gov]
  • BACKGROUND AND OBJECTIVES: Ulinastatin, an intrinsic trypsin inhibitor, has proved to be effective for the prevention of acute pancreatitis after endoscopic retrograde cholangiopancreatography.[ncbi.nlm.nih.gov]
  • […] the pancreatic duct and ultimately prevents the occurrence of acute pancreatitis.[wjgnet.com]
  • It summarized research progress on recovery of automatic micturition in postoperative uterine cervix cancer patients from aspects of pelvic floor muscular training before and after suprapubic cystotomy, individual bladder training, prevention of urinary[dict.site]

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