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]
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]
Five of the six patients with pancreatic leak presented with acute pancreatitis pre-operatively, and two of them developed post-operative pancreatitis [Table 1]. [afrjpaedsurg.org]
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]
Entire Body System
- 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]
Gastrointestinal
- 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]
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]
Only 2 cases had postoperative pancreatitis, which were diagnosed in the immediate postoperative period because of increased abdominal pain. Both patients did not have intraoperative cholangiogram during laparoscopic cholecystectomy. [sages.org]
Clinical features of acute pancreatitis include abdominal pain, jaundice, and weight loss. The timing of surgery was identified by receiver operating characteristic (ROC) curve. [nikkimitchellfoundation.org]
- 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]
Twelve days after the surgery, she was readmitted with complaints of severe epigastric pain and vomiting for the previous 3 days. On examination, the patient was afebrile, with heart rate 98/min and blood pressure 100/60 mm Hg. [acgcasereports.gi.org]
The predominant clinical symptom of patients with chronic pancreatitis is epigastric pain, which is sometimes difficult to manage by medication. [pancreas.imedpub.com]
Musculoskeletal
- 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]
Psychiatrical
- 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]
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]
Bile Duct Strictures: Differential Diagnoses & Workup; 2009; 3;7 [cited 2010 Nov 27]. Available from http://emedicine.medscape.com/article/ 186850-overview. 21 Kim JY, Kim KW, Ahn C, Hwang S, Lee Y, Shin YM, Lee MG. [ghrnet.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]
Postoperative AP carries high risk of death and its successful treatment depends on properly timed surgical intervention resulting in removal of necrotic pancreatic lesions along with intensive medical treatment using e.g. parenteral nutrition and aggressive [psjd.icm.edu.pl]
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]
In the form of high gravity the early surgical treatment has represented the clinical solution in 7 patients, while 3 others patients have died for septic and metabolic complication. Conclusion. [moh-it.pure.elsevier.com]
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]
These tumors cause three to ten times more deaths than from pancreatic carcinoma ( 25 ) in this group, and they are therefore relevant for the overall prognosis of the patient. [aerzteblatt.de]
Acute pancreatitis: Value of CT in establishing prognosis. Radiology 1990;174:331. PubMed Google Scholar 28. Lepanto L, Gianfelice D, Dery R, Dagenais M, Lapointe R, Roy A. [link.springer.com]
In general, EXPN heralds a better prognosis than combined necrosis when sterile, but similar prognosis when infection of necrotic tissue develops (4, 84). Figure 14. Extrapancreatic necrosis. [pancreapedia.org]
Etiology
Etiological factors associated with acute pancreatitis. 3.1.3. [intechopen.com]
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]
Use Additional Use Additional Help Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10data.com]
This chapter will discuss the role of imaging in the assessment of etiology of acute pancreatitis. [pancreapedia.org]
Long-standing alcohol consumption and biliary stone disease cause most cases of acute pancreatitis, but numerous other etiologies are known. [emedicine.medscape.com]
Epidemiology
[…] 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]
(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]
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]
Nicotine has also been shown to modulate the oxidative stress and lipid peroxidation and these processes might be involved in the pathophysiology of acute and chronic pancreatitis. [intechopen.com]
Important components in the pathophysiology of ischemia/reperfusion-induced acute pancreatitis include release of oxygen free radicals, activation of polymorphonuclear leukocytes, cellular acidosis, disturbance of intracellular homeostasis, and compromised [pancreapedia.org]
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]
EXPERIMENTAL STUDY ON PREVENTION OF THE POSTOPERATIVE PANCREATITIS AND THE PANCREATIC COMPLICATION AFTER SURGICAL PROCEDURES OF THE PANCREAS Yoshio KINAMI Author information JOURNALS FREE ACCESS 1980 Volume 13 Issue 8 Pages 1016-1022 DOI https://doi.org [jstage.jst.go.jp]
[…] the pancreatic duct and ultimately prevents the occurrence of acute pancreatitis. [wjgnet.com]