Neves C, Resende C, Ferreira A F
Serviço de Cirurgia Geral, Hospital S. Francisco Xavier, Lisboa.
Acta Med Port. 1995 Jun;8 Suppl 1:S13-6.
Gallstones and alcohol are the most important causes of acute pancreatitis, accounting for 80% of cases. One hundred and four cases of Acute Gallstone Pancreatitis were retrospectively studied, representing 39.5% of all cases of Acute Pancreatitis that have been treated between 1990-93. Abdominal ultrasound, demonstrating gallstones in 95% of the cases, was a very useful examination in the initial study of these patients. ERCP with sphincterotomy was performed in 25 patients: 6 in a urgent basis and the others as elective procedure. Gallstones have been treated during the initial admission in 80.6% of the cases and the others at a second admission: ERCP with sphincterotomy in 14 patients as the only etiologic treatment, open cholecystectomy in 50 cases and laparoscopic cholecystectomy in 29 cases. The overall mortality rate was 3.8%--four cases.
胆结石和酒精是急性胰腺炎的最重要病因，占病例的80%。对104例急性胆石性胰腺炎进行了回顾性研究，占1990年至1993年间接受治疗的所有急性胰腺炎病例的39.5%。腹部超声在这些患者的初步检查中非常有用，95%的病例显示有胆结石。25例患者进行了内镜逆行胰胆管造影（ERCP）及括约肌切开术：6例为急诊手术，其余为择期手术。80.6%的病例在首次入院时治疗了胆结石，其余在第二次入院时治疗：14例患者仅接受ERCP及括约肌切开术作为病因治疗，50例行开腹胆囊切除术，29例行腹腔镜胆囊切除术。总死亡率为3.8%，即4例。
