November 12, 2014
Indian J Surg. 2013 Dec;75(6):449-53. doi: 10.1007/s12262-012-0533-5. Epub 2012 Jun 8.
Author Address: Department of Surgery, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Reference Type: Journal Article
Record Number: 4717Author: Mangiante, G., Rodella, L., Cerofolini, A., Giacopuzzi, S., Passeri, V., Sterzi, E., Catalano, F., Schenal, G. and De Manzoni, G.
Title: Severe necrotic and septic pancreatitis. Indications to endoscopic, surgical, and nutritional therapy
Journal: G Chir
Short Title: Severe necrotic and septic pancreatitis. Indications to endoscopic, surgical, and nutritional therapy
Alternate Journal: Il Giornale di chirurgia
ISSN: 0391-9005 (Print)
Accession Number: 24629818
Aged, 80 and over
Anti-Bacterial Agents/therapeutic use
Cost of Illness
Length of Stay/economics
Pancreatitis, Acute Necrotizing/diagnosis/economics/surgery/*therapy
Severity of Illness Index
Abstract: Severe acute pancreatitis (SAP) management has changed over the last fifteen years, and from too aggressive behaviour, we moved to a cautious one. In every case, we can appreciate defect of extremist conceptual position. We reviewed our strategy on disease treatment, and we analyzed treatment of single cases. We collected 4 SAP cases from January 2009 to January 2010. All patients were septic, and we adopted the same approach for all of them, avoiding surgery without peritoneal infection. In all patients we placed jejumostomy and, after cleaning of septic site, we started immediate enteral nutrition (EN). Antibiotic therapy against Gram+, Gram- and antifugal drug had been started. No one died and all patients were back to an active life even if social costs are considerably high especially due to very long hospital stay.