Characterization of clinical-surgical behavior of acute pancreatitis in a hospital unit of Pinar del Río
Keywords:
pancreatitis aguda, complicaciones, investigaciones.Abstract
Introduction: acute pancreatitis is a disease that causes varying degrees of inflammation in the body and can reach to glandular necrosis.Objective: to characterize the clinical and surgical behavior in patients with acute pancreatitis at Abel Santamaria Cuadrado University Hospital in Pinar del Rio province during the period 2009-2012.
Materials and methods: an observational, descriptive, longitudinal and retrospective study was conducted in patients with acute pancreatitis admitted to Abel Santamaría Cuadrado University Hospital in Pinar del Rio, between 2009 and 2012.
Results: 53.3% of patients were admitted to the surgery department and the rest in the ICU. The 77.8% of patients underwent surgery before 48 hours from admission. There was a marked predominance of patients suffering from complications admitted in the surgical wards, acute or systemic complications prevailed. In patients undergoing surgeries the mortality rate increased considerably to 42.1%.
Conclusions: to carry out an appropriate behavior in patients admitted with acute pancreatitis and in order to reduce complications and death rate for this cause, patients must be admitted to the ICU from the first moment of the admission; along with the increase of investigations such as abdominal CT to lower surgical cases.
Downloads
References
1. Toh S, Phillips S, Johnson CD. A prospective audit against national satndars of the presentation and management of acute pancreatitis in the South of England. Gut[internet]. 2000[Cited 13 octub 2013]; 46. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1727819/pdf/v046p00239.pdf
2. Pynnönen L, Minkkinen M, Räty S, Sand J, Nordback I, Perner A, et al. Luminal lactate in acute pancreatitis-validation and relation to disease severity. BMC Gastroenterology[internet]. 2012[Cited 15 octub 2013]; 12: 40. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3462139/?report=reader
3. Wan M, Huang W, Latawiec D, Jiang K, Booth DM, Elliott V, Mukherjee R, Xia Q. Review of experimental animal models of biliary acute pancreatitis and recent advances in basic research. HPB[internet]. 2012[Cited 15 octub 2013]; 14:73 - 91. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3277048/pdf/hpb0014-0073.pdf
4. Zerem E, Imamovi? G, Mavija Z, Hara?i? B. Comments on the article about correlation between computerized tomography and surgery in acute pancreatitis. World J Gastroenterol[internet]. 2011[Cited 15 octub 2013]; 17: 407-8. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3022305/pdf/WJG-17-407.pdf
5. Losada M H, Muñoz C C, Burgos S L, Silva A J. Protocolo de tratamiento y resultados de pancreatitis aguda: Estudio de cohorte. Rev Chil Cir[revista en la Internet]. 2010 dic[citado 2014 oct 12]; 62(6): 557-563. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-40262010000600003&lng=es http://dx.doi.org/10.4067/S0718-40262010000600003
6. Mir M, Bali BS, Mir RA, Wani H. Assessment of the severity of acute pancreatitis by contrast-enhanced computerized tomography in 350 patients. Ulus Travma Acil Cerrahi Derg. Cir[revista en la Internet]. 2013[citado 2014 oct 12]; 19(2): 103-108. Available from: http://www.journalagent.com/travma/pdfs/UTD_19_2_103_108.pdf
7. Pérez R. Evaluación de factores pronósticos y evolución en la pancreatitis aguda. Rev Cub Med Mil[Revista en internet]. 2006[Citado el 22 de octubre de 2013]; 35. Disponible en: http://www.bvs.sld.cu/revistas/mil/vol35_1_06/mil04106.htm
8. Babu R, Gupta R, Kang M, Bhasin DK, Rana SS, Singh R. Predictors of surgery in patients with severe acute pancreatitis managed by the stepup approach. Ann Surg[internet] 2013[Cited 15 octub 2013]; 257: 737-750. Available from: http://journals.lww.com/annalsofsurgery/Abstract/2013/04000/Predictors_of_Surgery_in_Patients_With_Severe.23.aspx
9. Gukovsky I, Pandol SJ, Mareninova OA, Shalbueva N, Jia W, Gukovskaya AS. Impaired Autophagy and Organellar Dysfunction in Pancreatitis. J Gastroenterol Hepatol[Revista en internet] 2012[Cited 15 octub 2013];27:27-32. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3281514/pdf/nihms340264.pdf
10. Su M, Lin M, Zhao Q, Liu Z, He L, Jia N. Clinical study of distribution and drug resistance of pathogens in patients with severe acute pancreatitis. Chin Med J 2012[Cited 15 octub 2013]; 125:1772-1776. Available in: http://115.28.162.40/UpFiles/Article/2012831134650.pdf
11. Petrov M, Chong V, Windsor JA. Infected pancreatic necrosis: Not necessarily a late event in acute pancreatitis. World J Gastroenterol. [Revista en internet] 2011[Cited 15 octub 2013]; 17:3173-3176. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3158390/pdf/WJG-17-3173.pdf
12. Cacopardo B. Localized and systemic bacterial infections in necrotizing pancreatitis submitted to surgical necrosectomy or percutaneous drainage of necrotic secretions. BMC Surgery[Revista en internet] 2013[Cited 15 octub 2013]; 13:550. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3851131/pdf/1471-2482-13-S2-S50.pdf

Published
How to Cite
Issue
Section
License
Authors who have publications with this journal agree to the following terms: Authors will retain their copyrights and grant the journal the right of first publication of their work, which will be publication of their work, which will be simultaneously subject to the Creative Commons Attribution License (CC-BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.
Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g.: deposit it in an institutional telematic archive or publish it in a volume). Likewise, and according to the recommendations of the Medical Sciences Editorial (ECIMED), authors must declare in each article their contribution according to the CRediT taxonomy (contributor roles). This taxonomy includes 14 roles, which can be used to represent the tasks typically performed by contributors in scientific academic production. It should be consulted in monograph) whenever initial publication in this journal is indicated. Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which may produce interesting exchanges and increase citations of the published work. (See The effect of open access). https://casrai.org/credit/