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001-es BibID:	BIBFORM006268
Első szerző:	Szentkereszty Zsolt (sebész)
Cím:	Therapeutic tactics in the treatment of acute necrotizing pancreatitis / Zsolt Szentkereszty, Róbert Kotán, János Pósán, Péter Árkossy, Péter Sápy
Dátum:	2008
Megjegyzések:	The authors analyze the possibilities for the delay of surgery with special consideration regarding percutaneous peripancreatic drainage in the treatment of acute necrotizing pancreatitis. Methodology: In addition to intensive care therapy, 61 patients were also given antibiotic prophylaxis, and early nasojejunal enteral feeding was commenced. In a total of 22 cases where peripancreatic fluid was found, percutaneous drainage was performed. Septic necrosis, sepsis, multi-organ failure not resolving with conservative treatment, gastrointestinal perforation, and bleeding were the indications for operation. Only 9 patients underwent surgery within one week and in 40 patients delayed (more than 7 days) necrectomy was performed. Following surgery, closed omental bursa rinsing was performed. Results: Five patients were cured with on1y conservative therapy and 7 others were cured under the influence of percutaneous drainage. In 15 patients it was possible to deIay surgery using percutaneous drainage with combination of conservative treatment. A total of 39 reoperations occurred due to septic focus, bleeding, colonic necrosis and gastric perforation. The average days of nursing care was 43.3 (3-120). Mortality was 16.4% (10/61 patient's) Conclusions: The number of early operations can be reduced with the use of antibiotic prophylaxis, nasojejunal feeding and percutaneous drainage.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban Acute necrotizing pancreatitis Late operation Percutaneous peripancreatic drainage
Megjelenés:	Hepato-Gastroenterology. - 55 : 81 (2008), p. 266-269. -
További szerzők:	Kotán Róbert (1975-) (sebész) Pósán János (1976-) (sebész) Árkosy Péter (1962-) (általános sebész, mellkassebész) Sápy Péter (1942-) (sebész)
Internet cím:	elektronikus változat
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