| Autor: |
J J, Tuech, P, Pessaux, R, Duplessis, F, Villapadierna, C, Cervi, J P, Arnaud |
| Jazyk: |
francouzština |
| Rok vydání: |
1999 |
| Předmět: |
|
| Zdroj: |
Annales de chirurgie. 53(5) |
| ISSN: |
0003-3944 |
| Popis: |
Enzymatic seritis is a rare complication of chronic pancreatitis. Thirty-four cases are analyzed from a series of 200 cases of operated chronic pancreatitis: 22 pleural effusions, 5 ascites and 7 combined effusions. The pancreatic leak was demonstrated preoperatively in 40% of cases. The leak originated from erosion of a pancreatic duct in 7 cases and leaking pseudocyst in 27 cases. All patients were operated: internal drainage (22 cases), left splenopancreatectomy (7 cases) and external drainage (5 cases). Postoperative mortality was 9% (n = 3); postoperative morbidity was 15% (n = 5). The effusion did not recur in any of the survivors, but repeat surgery for chronic pancreatitis complications was necessary in 7 patients (20.5%).after failure of medical treatment, the treatment of large serous effusions is surgical: internal drainage or pancreatic resection when the lesion is located in the tail of the pancreas. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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