Neher M, Kümmerle F
Dtsch Med Wochenschr. 1978 Sep 8;103(36):1400-4. doi: 10.1055/s-0028-1129271.
Gastrointestinal complications, such as ileus, bleeding, stenosis and fistula formation, were retrospectively analysed on 180 patients with acute pancreatitis. Paralytic ileus occurred in only a quarter of patients with acute oedematous pancreatitis and only one had bleeding from a gastric ulcer. Complications occurred in the early but also postacute stage in patients with the haemorrhagic-necrotizing form. Even with early and delayed operation and adequate treatment of most complications, renewed gastrointestinal complications were not uncommon and required re-operations.
对180例急性胰腺炎患者的胃肠道并发症,如肠梗阻、出血、狭窄和瘘管形成进行了回顾性分析。麻痹性肠梗阻仅发生在四分之一的急性水肿性胰腺炎患者中,仅有1例发生胃溃疡出血。出血坏死型患者在疾病早期及急性期后均出现并发症。即使早期和延期手术以及对大多数并发症进行了充分治疗,再次出现的胃肠道并发症仍很常见,需要再次手术。