Analysis For The Management Of SAP-75 Cases

Background and ObjectiveSevere acute pancreatitis (SAP) occurred in 15%~20% of patients with acute pancreatitis. It is a serious disease characterized by intrapancreatic necrosis and associated with single or multiple organ dysfunction syndrome (MODS). It was generally recognized that surgery can be considered of major form for infected pancreatic necrosis. However, timing and indication of SAP have been still controversial. In this retrospective study, the effects of different kinds of treatment were evaluated, and the relationship between timing of surgical and prognosis were analyzed.MethodsThe timing of surgical, complication rates and mortality rate of 75 patients with SAP were analysis in our hospital from March 1987 to February 2005. The group of early surgical was 33 cases (25 cases were I grades, 8 cases were II grades), delayed surgical was 17 cases (14 cases were I grades, 3 cases were II grades), conservative treatment was 25 cases (22 cases were I grades,3 cases were II grades). Timing of surgical, surgical complications and mortality rate were discussed.