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Acute biliar pancreatitis

Agnetha Pérez Campos, Eduar Bravo Paredes, Ricardo Prochazka Zarate, Alejandro Bussalleu, José Pinto Valdivia, Vannessa Valenzuela Granados
OBJECTIVE: To assess the BISAP and APACHE II scores in predicting severity according to the 2012 Atlanta classification and whether the obesity factor added to these scores improves prediction. MATERIAL AND METHODS: A prospective study between January 2013 and April 2014 including all patients with acute pancreatitis was performed according to the new Atlanta 2012 classification. ROC curves were fabricated for BISAP, BISAP-O, APACHE-II scores and Apache O and appropriate cutoffs were selected to the sensitivity, specificity, PPV, NPV, RPP and RPN...
January 2015: Revista de Gastroenterología del Perú: órgano Oficial de la Sociedad de Gastroenterología del Perú
Helena Subirana Magdaleno, Rosa Jorba Martín, Joan Barri Trunas, Joaquim Robres Puig, Francisco Javier Rey Cabaneiro, Anna Pallisera Lloveras, Carmen Buqueras Bujosa, M Ángeles Vasco Rodríguez, Sergio López Rodríguez, María Clara López Sanclemente, Pedro Barrios Sánchez
INTRODUCTION: Despite the excellent results obtained with standard laparoscopic cholecystectomy, the efforts for minimizing the ports needed to reduce postoperative pain, for a quicker recovery and to improve the patient's cosmetics continue. The aim of this study is to report the results of the first 100 cases of single port laparoscopic cholecystectomy performed in a secondary care hospital. MATERIAL AND METHODS: Prospective, observational and unicentric study including 100 patients between January 2010 and April 2012...
May 2014: Cirugía Española
J Feisthammel, J Mössner, A Hoffmeister
HISTORY AND CLINICAL FINDINGS: A 55-year-old man suffered from severe acute abdominal pain. 10 years previously he had been diagnosed with acute pancreatitis. On palpation, there was pronounced abdominal tenderness and guarding. INVESTIGATIONS: Emergency CT revealed signs of intra- and extrahepatic cholestasis and biliar sludge; serum-lipase was increased. TREATMENT AND COURSE: Acute biliary pancreatitis was diagnosed. After admission the patient's condition deteriorated; acute renal failure and respiratory insufficiency developed...
September 2013: Deutsche Medizinische Wochenschrift
D J Piccini, R Kaplan, A Burgos, N Rodríguez, Z Meza Vetanzo, N Lencina
UNLABELLED: Heterotopic pancreas in the gallbladder is uncommon.condition and its clinical presentation is as an intramural nodule near the cystic duct, with an incidental finding in most cases. OBJECTIVE: to update Heterotopic pancreas condition in the gallbladder. We reported a case of a 18-year-old female, suffering with biliar colic who was operated on with diagnosis of acute cholecystitis. Six mixed gallstones were found in the surgery and the gallbladder was distended and edematous with serosal exudate and the serosa appeared discolored and hemorrhagic...
2009: Revista de la Facultad de Ciencias Médicas
Débora Pellegrini, Sonia Pankl, Bárbara C Finn, Julio E Bruetman, Ignacio Zubiaurre, Pablo Young
Acute pancreatitis (AP) is a disease with several causes and diverse clinical course. In our environment there are not many papers on this entity and they approach punctual features inside the broad spectrum picture. The aim of this study is to determinate clinical features, etiology, handling and evolution of patients diagnosed with AP admitted in our Hospital during a three years period. The clinical records of patients with AP admitted at the British Hospital of Buenos Aires between April 2004 and April 2007 were retrospectively analyzed...
2009: Medicina
Abel Salvador Arroyo-Sánchez, Jorge García Ventura, Rosa Y Aguirre Mejía
INTRODUCTION: Acute pancreatitis is a local inflammatory process that could be generalized by producing mild to severe gastroenteral manifestations, like multiple organ dysfunction and death. OBJECTIVE: To describe epidemiological, clinical, therapeutical characteristics and evolution of patients with AP of our unit and to compare with other studies of Peru and other countries. MATERIALS AND METHODS: We realized a review of all cases with AP treated in ICU-INCU of Victor Lazarte Echegaray Hospital over 1 degrees January of 2004 to April, 30 of 2007...
April 2008: Revista de Gastroenterología del Perú: órgano Oficial de la Sociedad de Gastroenterología del Perú
M Faraci, B Cappelli, G Morreale, E Lanino, C Moroni, R Bandettini, M P Terranova, D Di Martino, C Coccia, E Castagnola
We describe a case of Cryptosporidium infection occurring in a child after allogeneic SCT for acute non-lymphoblastic leukemia. This patient presented an intestinal, biliar, and pancreatic Cryptosporidium disease associated with an intestinal aGvHD. The increase in CD3+/CD4+ cells secondary to the reduction of steroid therapy associated with the improvement of aGvHD and the use of antiparasitic treatments (especially nitazoxanide) improved the infection-related symptoms and led to a complete clearance of the Cryptosporidium...
February 2007: Pediatric Transplantation
J Liras Muñoz, J Bueno Recio, A Sánchez Abuín, L García Alonso, A Solar Boga, E Pais Piñeiro, D Vela Nieto, M Gómez
The most generally accepted therapy of choledochal cyst is cystectomy and biliar derivation by laparotomy. Last years, endoscopic papilotomy by ERCP has been a valuable therapeutic alternative, no only a diagnostic method. In this study, we reviewed five pediatric patients operated in our Deparment in last five years for choledochal cyst. The initial therapy was laparotomy (n=4) and endoscopic papilotomy by ERCP (n=1) This one was made in other Hospital. Follow-up has been between one and five years. All patients are living...
April 2005: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
Jens G Brockmann, Carlos A Hernandez, Carlos Emparan, Heiner Wolters, Jörg Haier, Karl-Heinz Dietl, Norbert J Senninger
BACKGROUND: The prognosis of bilio-pancreatic cancer (pancreas, bile duct and gallbladder) is poor due to the fact of late diagnosis. The only curative treatment for such tumors is surgery. The 5-year survival rate is still below 5% and less than one-third of patients suffering from such carcinomas are resectable at the time of diagnosis. Although specific tumor markers do exist, to date there is no screening marker for these diseases. MATERIALS AND METHODS: Gallbladder bile of 44 consecutive cholecystectomized patients were prospectively analyzed for TAP concentrations...
March 2003: Anticancer Research
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