Diagnosis And Treatment Of Actue Biliary Pancreatitis

Objective To Summarize the experience of diagnosis and treatment of acute biliary pancreatitis(ABP), Methods The clinical data of 58cases of ABP from 1998 to 2002 were retrospectively analyzed. Results Of the 58 patients with age ranging from 21 to 83(mean =45.3). 19 were male and 39 female. There were acute interstitial edmatous pancreatitis in 53 cases and acute necrotizing pancreatitis in 5 cases. 35 patients received emergent or early operation and other nonoperative treatment. All the patients who were followed 3month to 4years had no symptom. Conclusion B-US is the first choice for diagnosis of ABP. Timely diagnosis and right treatment of varieties of ABP result in good results, surgical treatment should be performed within 24-48h for obstructive ABP. Non-obstructive ABP should be treated with conservative procedure at first and then postponent operation were performed.