[Acute hemorrhagic necrotic pancreatitis: clinical pathology and long-term results of surgical treatment].

There have been no generally accepted criteria for the clinicopathological classification of acute hemorrhagic necrotic pancreatitis (AHNP). We based on our experience in the surgical treatment of 30 patients with proved AHNP and their long-term follow up results, divided AHNP into two types, i.e. sporadic focal and extensive fusional, each having its own distinctive gross pathological features. The mortality rate of sporadic type was much lower than that of extensive fusional type. Eighteen patients with AHNP who survived the initial stormy clinical course were followed up and their pancreatic juice was collected endoscopically for exocrine examination. It was found that the exocrine function was pretty much intact in spite of its evident damage in image.