Az akut nekrotizáló pancreatitis kezelésének összehasonlító vizsgálata.

Translated title of the contribution: Treatment of acute necrotizing pancreatitis: a comparative study

Z. Szentkereszty, L. Kerekes, J. Hallay, G. Kovács, Z. Bodnár, P. Sápy

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

The authors compared the therapeutic results of acute necrotizing pancreatitis during two separate time periods involving 97 and 24 patients, respectively. In the group "A", the time period lasted between May 31, 1991 and December 31, 1997. This group consisted of 97 patients, who, in addition to undergoing intensive treatment and antibiotic prophylaxis, later underwent late necrectomy and closed peripancreatic drainage. Jejunal nutrition only occurred in a limited number of 52 patients (53.6%), and was mostly used after a second operation. The group "B" consisted of patients from the time period between January 1, 1999 and December 31, 1999, and consisted of 24 patients treated in each case with intensive treatment in addition to antibiotic prophylaxis, early nasojejunal nutrition, and if necessary CT-guided percutaneous peripancreatic drainage was used. In the case of surgical intervention necrectomy and closed peripancreatic rinsing drainage was used. In group "A", significantly more early operations were performed than in group "B" (31 patients, 32.0% vs. 2 patients, 8.3%). In group "A" the number of reoperations was also higher as a total of 91 (83.5%) were reoperated as compared to group "B" in which a total of 18 (75.0%) reoperations took place. In the group "B", mortality was also lower (12.5%), than in the "A" group (17.5%). The authors attribute the successful therapy to the early jejunal nutrition, CT-guided percutaneous peripancreatic drainage and to the introduction of prophylactic antibiotics.

Original languageHungarian
Pages (from-to)993-996
Number of pages4
JournalOrvosi Hetilap
Volume142
Issue number19
Publication statusPublished - May 13 2001

Fingerprint

Acute Necrotizing Pancreatitis
Drainage
Antibiotic Prophylaxis
Reoperation
Therapeutics
Anti-Bacterial Agents
Mortality

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Szentkereszty, Z., Kerekes, L., Hallay, J., Kovács, G., Bodnár, Z., & Sápy, P. (2001). Az akut nekrotizáló pancreatitis kezelésének összehasonlító vizsgálata. Orvosi Hetilap, 142(19), 993-996.

Az akut nekrotizáló pancreatitis kezelésének összehasonlító vizsgálata. / Szentkereszty, Z.; Kerekes, L.; Hallay, J.; Kovács, G.; Bodnár, Z.; Sápy, P.

In: Orvosi Hetilap, Vol. 142, No. 19, 13.05.2001, p. 993-996.

Research output: Contribution to journalArticle

Szentkereszty, Z, Kerekes, L, Hallay, J, Kovács, G, Bodnár, Z & Sápy, P 2001, 'Az akut nekrotizáló pancreatitis kezelésének összehasonlító vizsgálata.', Orvosi Hetilap, vol. 142, no. 19, pp. 993-996.
Szentkereszty Z, Kerekes L, Hallay J, Kovács G, Bodnár Z, Sápy P. Az akut nekrotizáló pancreatitis kezelésének összehasonlító vizsgálata. Orvosi Hetilap. 2001 May 13;142(19):993-996.
Szentkereszty, Z. ; Kerekes, L. ; Hallay, J. ; Kovács, G. ; Bodnár, Z. ; Sápy, P. / Az akut nekrotizáló pancreatitis kezelésének összehasonlító vizsgálata. In: Orvosi Hetilap. 2001 ; Vol. 142, No. 19. pp. 993-996.
@article{05114e1d7ad944998fe9798088ee6f22,
title = "Az akut nekrotiz{\'a}l{\'o} pancreatitis kezel{\'e}s{\'e}nek {\"o}sszehasonl{\'i}t{\'o} vizsg{\'a}lata.",
abstract = "The authors compared the therapeutic results of acute necrotizing pancreatitis during two separate time periods involving 97 and 24 patients, respectively. In the group {"}A{"}, the time period lasted between May 31, 1991 and December 31, 1997. This group consisted of 97 patients, who, in addition to undergoing intensive treatment and antibiotic prophylaxis, later underwent late necrectomy and closed peripancreatic drainage. Jejunal nutrition only occurred in a limited number of 52 patients (53.6{\%}), and was mostly used after a second operation. The group {"}B{"} consisted of patients from the time period between January 1, 1999 and December 31, 1999, and consisted of 24 patients treated in each case with intensive treatment in addition to antibiotic prophylaxis, early nasojejunal nutrition, and if necessary CT-guided percutaneous peripancreatic drainage was used. In the case of surgical intervention necrectomy and closed peripancreatic rinsing drainage was used. In group {"}A{"}, significantly more early operations were performed than in group {"}B{"} (31 patients, 32.0{\%} vs. 2 patients, 8.3{\%}). In group {"}A{"} the number of reoperations was also higher as a total of 91 (83.5{\%}) were reoperated as compared to group {"}B{"} in which a total of 18 (75.0{\%}) reoperations took place. In the group {"}B{"}, mortality was also lower (12.5{\%}), than in the {"}A{"} group (17.5{\%}). The authors attribute the successful therapy to the early jejunal nutrition, CT-guided percutaneous peripancreatic drainage and to the introduction of prophylactic antibiotics.",
author = "Z. Szentkereszty and L. Kerekes and J. Hallay and G. Kov{\'a}cs and Z. Bodn{\'a}r and P. S{\'a}py",
year = "2001",
month = "5",
day = "13",
language = "Hungarian",
volume = "142",
pages = "993--996",
journal = "Orvosi Hetilap",
issn = "0030-6002",
publisher = "Akademiai Kiado",
number = "19",

}

TY - JOUR

T1 - Az akut nekrotizáló pancreatitis kezelésének összehasonlító vizsgálata.

AU - Szentkereszty, Z.

AU - Kerekes, L.

AU - Hallay, J.

AU - Kovács, G.

AU - Bodnár, Z.

AU - Sápy, P.

PY - 2001/5/13

Y1 - 2001/5/13

N2 - The authors compared the therapeutic results of acute necrotizing pancreatitis during two separate time periods involving 97 and 24 patients, respectively. In the group "A", the time period lasted between May 31, 1991 and December 31, 1997. This group consisted of 97 patients, who, in addition to undergoing intensive treatment and antibiotic prophylaxis, later underwent late necrectomy and closed peripancreatic drainage. Jejunal nutrition only occurred in a limited number of 52 patients (53.6%), and was mostly used after a second operation. The group "B" consisted of patients from the time period between January 1, 1999 and December 31, 1999, and consisted of 24 patients treated in each case with intensive treatment in addition to antibiotic prophylaxis, early nasojejunal nutrition, and if necessary CT-guided percutaneous peripancreatic drainage was used. In the case of surgical intervention necrectomy and closed peripancreatic rinsing drainage was used. In group "A", significantly more early operations were performed than in group "B" (31 patients, 32.0% vs. 2 patients, 8.3%). In group "A" the number of reoperations was also higher as a total of 91 (83.5%) were reoperated as compared to group "B" in which a total of 18 (75.0%) reoperations took place. In the group "B", mortality was also lower (12.5%), than in the "A" group (17.5%). The authors attribute the successful therapy to the early jejunal nutrition, CT-guided percutaneous peripancreatic drainage and to the introduction of prophylactic antibiotics.

AB - The authors compared the therapeutic results of acute necrotizing pancreatitis during two separate time periods involving 97 and 24 patients, respectively. In the group "A", the time period lasted between May 31, 1991 and December 31, 1997. This group consisted of 97 patients, who, in addition to undergoing intensive treatment and antibiotic prophylaxis, later underwent late necrectomy and closed peripancreatic drainage. Jejunal nutrition only occurred in a limited number of 52 patients (53.6%), and was mostly used after a second operation. The group "B" consisted of patients from the time period between January 1, 1999 and December 31, 1999, and consisted of 24 patients treated in each case with intensive treatment in addition to antibiotic prophylaxis, early nasojejunal nutrition, and if necessary CT-guided percutaneous peripancreatic drainage was used. In the case of surgical intervention necrectomy and closed peripancreatic rinsing drainage was used. In group "A", significantly more early operations were performed than in group "B" (31 patients, 32.0% vs. 2 patients, 8.3%). In group "A" the number of reoperations was also higher as a total of 91 (83.5%) were reoperated as compared to group "B" in which a total of 18 (75.0%) reoperations took place. In the group "B", mortality was also lower (12.5%), than in the "A" group (17.5%). The authors attribute the successful therapy to the early jejunal nutrition, CT-guided percutaneous peripancreatic drainage and to the introduction of prophylactic antibiotics.

UR - http://www.scopus.com/inward/record.url?scp=0035853876&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0035853876&partnerID=8YFLogxK

M3 - Article

VL - 142

SP - 993

EP - 996

JO - Orvosi Hetilap

JF - Orvosi Hetilap

SN - 0030-6002

IS - 19

ER -