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Correlates of Morbidity and Mortality in Severe Necrotizing Pancreatitis
Acute severe pancreatitis is associated with a high morbidity and mortality and frequently is accompanied by underlying pancreatic parenchymal necrosis. Patients with pancreatic necrosis must be identified, because the morbidity and mortality rate in this subgroup is much higher. Our objective was t...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
International Scholarly Research Network
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3400372/ https://www.ncbi.nlm.nih.gov/pubmed/22844617 http://dx.doi.org/10.5402/2012/215193 |
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author | Pal, K. M. Kasi, Pashtoon Murtaza Tayyeb, Mohammad Mosharraf, S. M. Faisal Fatmi, Zafar |
author_facet | Pal, K. M. Kasi, Pashtoon Murtaza Tayyeb, Mohammad Mosharraf, S. M. Faisal Fatmi, Zafar |
author_sort | Pal, K. M. |
collection | PubMed |
description | Acute severe pancreatitis is associated with a high morbidity and mortality and frequently is accompanied by underlying pancreatic parenchymal necrosis. Patients with pancreatic necrosis must be identified, because the morbidity and mortality rate in this subgroup is much higher. Our objective was to compare the clinical outcomes of these patients based on the degree of pancreatic necrosis. A total of 35 patients were noted to have pancreatic necrosis. These were divided into 2 groups based on extent of necrosis: group A had less than 50% necrosis and group B had more than 50% necrosis. The rate of mortality (5% versus 40%) was significantly higher in group B. The rate of organ dysfunction also rose along with the rates of other morbidities and variables that were related to a patient's hospital stay. Only APACHE II significantly correlated with the degree of necrosis, wherein the chances of substantial necrosis rose by 20% with each unit increase of APACHE II score. APACHE II Score could be employed and studied further prospectively to help identify patients with pancreatic necrosis. |
format | Online Article Text |
id | pubmed-3400372 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | International Scholarly Research Network |
record_format | MEDLINE/PubMed |
spelling | pubmed-34003722012-07-27 Correlates of Morbidity and Mortality in Severe Necrotizing Pancreatitis Pal, K. M. Kasi, Pashtoon Murtaza Tayyeb, Mohammad Mosharraf, S. M. Faisal Fatmi, Zafar ISRN Surg Clinical Study Acute severe pancreatitis is associated with a high morbidity and mortality and frequently is accompanied by underlying pancreatic parenchymal necrosis. Patients with pancreatic necrosis must be identified, because the morbidity and mortality rate in this subgroup is much higher. Our objective was to compare the clinical outcomes of these patients based on the degree of pancreatic necrosis. A total of 35 patients were noted to have pancreatic necrosis. These were divided into 2 groups based on extent of necrosis: group A had less than 50% necrosis and group B had more than 50% necrosis. The rate of mortality (5% versus 40%) was significantly higher in group B. The rate of organ dysfunction also rose along with the rates of other morbidities and variables that were related to a patient's hospital stay. Only APACHE II significantly correlated with the degree of necrosis, wherein the chances of substantial necrosis rose by 20% with each unit increase of APACHE II score. APACHE II Score could be employed and studied further prospectively to help identify patients with pancreatic necrosis. International Scholarly Research Network 2012-07-09 /pmc/articles/PMC3400372/ /pubmed/22844617 http://dx.doi.org/10.5402/2012/215193 Text en Copyright © 2012 K. M. Pal et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Study Pal, K. M. Kasi, Pashtoon Murtaza Tayyeb, Mohammad Mosharraf, S. M. Faisal Fatmi, Zafar Correlates of Morbidity and Mortality in Severe Necrotizing Pancreatitis |
title | Correlates of Morbidity and Mortality in Severe Necrotizing Pancreatitis |
title_full | Correlates of Morbidity and Mortality in Severe Necrotizing Pancreatitis |
title_fullStr | Correlates of Morbidity and Mortality in Severe Necrotizing Pancreatitis |
title_full_unstemmed | Correlates of Morbidity and Mortality in Severe Necrotizing Pancreatitis |
title_short | Correlates of Morbidity and Mortality in Severe Necrotizing Pancreatitis |
title_sort | correlates of morbidity and mortality in severe necrotizing pancreatitis |
topic | Clinical Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3400372/ https://www.ncbi.nlm.nih.gov/pubmed/22844617 http://dx.doi.org/10.5402/2012/215193 |
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