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Query: UMLS:C0030305 (pancreatitis)
 16,014 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

After an introduction on the role of the biliary factors in the etiopathogeny of acute pancreatitis the authors present an analysis of their personal experience in this field. A total of 46 cases are discussed, with acute biliary pancreatitis, which were diagnosed during surgical interventions. Of the 46 patients 13 had an oedematous form of acute biliary pancreatitis, 22 had necrotizing pancreatitis with associated haemorrhage, 3 had suppurated pancreatitis and 6 had a pancreatic abscess. In 6 patients the acute pancreatitis was either associated with, or triggered by acute non-lithiasic cholecystitis, and in 40 cases the acute pancreatitis was associated to biliary lithiasis. Surgery was performed as a result of inefficient intensive care, as an immediate emergency, in 56.42% of the cases, and as a late emergency (at 3-7 days) in 28% of the patients. Surgery was performed late in 14.71% of the cases. The surgical intervention was mainly directed to the treatment of the biliary lesions, and for the solving of pancreatic lesions, especially of the suppurative and necrotizing and haemorrhagic ones. The postoperative death rate was 34.7%, and death occurred in aged patients, in those with severe forms of pancreatitis of the haemorrhagic type, (8 cases), and with pancreatic suppurations (6 cases).
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PMID:[Acute biliary pancreatitis. Anatomoclinical and therapeutic aspects]. 621

An insulin-requiring type 2 diabetic patient became insulin-resistant with development of a pancreatic pseudocyst following cholecystitis and cholecystectomy. Drainage of the cyst fluid was followed by rapid return to his prior insulin requirement. As there were no indications of insulin allergy, obesity, or hormonal imbalance, we postulate a subclinical state of pancreatitis that was relieved with drainage of the pseudocyst fluid.
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PMID:Insulin resistance with pancreatic pseudocyst relieved by percutaneous drainage. 634 30

Pseudoaneurysms of the pancreaticoduodenal arteries commonly occur in pancreatitis. Pseudoaneurysms of the hepatic artery and its branches usually occur due to trauma. I report a pseudoaneurysm of the cystic artery resulting from cholecystitis and successful surgical treatment of the pseudoaneurysm.
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PMID:Pseudoaneurysm of cystic artery with upper gastrointestinal hemorrhage. 660 May 24

Only one instance of Dubin-Johnson syndrome associated with cholelithiasis has been reported. We present one additional patient, a 30 year old man with Dubin-Johnson syndrome in whom pancreatitis and cholecystitis, secondary to cholesterol gallstones, developed. A possible cause for the lithogenicity of the bile in the Dubin-Johnson syndrome is considered.
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PMID:Cholelithiasis in Dubin-Johnson syndrome. 663 16

Cholecystectomy was carried out in 17 teenage girls for cholecystitis at Virginia Mason Hospital, Seattle, between 1971 and 1980. The incidence increased with increasing age. Gallbladder disease was associated with recent pregnancy or birth control pill use (71%), obesity (65%) and family history of gallbladder disease (47%). All but one patient had at least one of these risk factors. No patient had congenital anomalies, blood dyscrasias or other underlying illness. Patients most commonly had recurrent attacks of abdominal pain; seven had symptoms for more than six months. Although the clinical presentations were often mild, six patients had jaundice, three had chemical pancreatitis, one had hemorrhagic pancreatitis, one had pancreatic pseudocyst and abscess and one had a common duct stone. One patient had cholesterosis and 16 had cholelithiasis. All patients were cured by operation. During the same time period, only two boys, both aged 14 years, nonobese and with no family history of gallbladder disease, underwent cholecystectomy, both for acaculous cholecystitis.
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PMID:Cholecystitis in teenage girls. 664 95

Comparative examination of the material obtained from 133 cadavers of patients dying after operations for chronic pancreatitis, pancreonecrosis, and cholecystitis as well as dying suddenly with other diseases (control) was carried out. Stereoscopic microscopy was used to study the internal relief of the mucous membrane of the ampulla and ducts of the major duodenal papilla (MDP), and their step-wise histological examination was performed. From 1 to 10 valves were found in 98% of the control cases. Inflammatory diseases of the gall bladder and pancreas were found to be accompanied by morphological changes in the valve apparatus of MDP. In acute cholecystitis and pancreatitis, edema of the valves and their inflammatory infiltration developed. Courvoisier's gallbladder and chronic recurrent pancreatitis with the duration of the disease up to 3 years resulted in hypertrophic changes in the valves. A disease of longer duration (from 3 to 7 years) was accompanied by deforming changes in the valves with possible subsequent complete atrophy of the valvular apparatus.
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PMID:[Internal topography of the greater duodenal papilla in cholecystitis and pancreatitis]. 666 Oct 75

Sixty-one patients who underwent augmentation cholecystography with calcium ipodate (Oragrafin calcium granules) were reviewed. Sixty-four per cent (39/61) of nonvisualizing or poorly visualizing cholecystograms were converted to well-visualizing studies, of which 26 per cent (10/39) involved cholethiasis. In 55 per cent of the cholecystograms (12/22) that remained nonvisualizing or poorly visualizing, patients were found to have gallstones. The remaining cases of poor or nonvisualizing cholecytograms were associated with abnormal liver function, cholecystitis, and pancreatitis. If the gallbladder is nonvisualized with a calcium ipodate augmentation technique it is reliable evidence of gallbladder disease, and is likely cholelithiasis when extrinsic factors affecting contrast absorption or liver function are excluded.
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PMID:The reliability of cholecystography with calcium ipodate augmentation. 677 57

The authors have shown the diagnostic value of the coloured liquid crystal thermography on the basis of a comparative investigation of the data of clinical and thermographic studies, operation findings and histological studies in 223 patients with acute appendicitis, cholecystitis, pancreatitis and other diseases of organs of the abdominal cavity. The method is recommended for wide use in clinical practice.
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PMID:[Liquid crystal thermography in the diagnosis of acute appendicitis, cholecystitis and pancreatitis]. 684 82

Gastrointestinal (GI) complications after surgery requiring cardiopulmonary bypass (CPB) can be serious, often lethal events. In our study, from 1970 through 1981 there were 43 such complications after 5080 CPB cases (0.85%). We noted on annual persistent occurrence of approximately 1%. The overall mortality rate was 63%. The most frequent complication was hemorrhage (usually gastroduodenal). Other complications encountered were pancreatitis, cholecystitis, hyperbilirubinemia, bowel perforations or infarcts, and gastroduodenal alterations. We concluded that GI complications after CPB are associated with a high mortality rate and often occur with other complications. Careful judgment is needed for appropriate diagnosis and therapy.
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PMID:Gastrointestinal complications after cardiopulmonary bypass. 698 Apr 93

A study of 100 patients from 14 months through 18 years of age with extrahepatic biliary tract conditions who have been treated from 1950 through 1979 is reported. For discussion, these have been classified into four groups including acalculous cholecystitis, nonhemolytic cholelithiasis, hemolytic cholelithiasis and stenosis of the common duct. Ninety-nine patients were operated on and there were no deaths. Except for unusual contraindications, cholecystectomy is preferred for acute noncalculous cholecystitis. The largest number having gallstones were those patients (87%) without hemolytic disease. Only 13% had an associated hemolytic disorder. Cholecystectomy is the preferred treatment and common duct exploration is utilized when indicated. Six children with chronic relapsing pancreatitis secondary to stenosis of the ampulla of Vater and two with common duct stenosis are analyzed. Although extrahepatic biliary disorders are usually not considered in the differential diagnosis of children and adolescents with vague abdominal pain, it is evident by this large number of patients that there should be greater emphasis placed on earlier diagnosis in the future.
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PMID:Cholecystitis, cholelithiasis and common duct stenosis in children and adolescents. 698 34


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