Clinical significance of postoperative acute pancreatitis of non-resection genesis in abdominal surgery.

Abstract

Objective: Aim: To analyse in detail the incidence of POAP after urgent abdominal and endoscopic transpapillary surgical interventions.

Patients and methods: Materials and Methods: A retrospective analysis of 52 clinical cases of POAP was done, among which 27 patients developed POAP after urgent abdominal interventions and 25 patients - after endoscopic transpapillary interventions.

Results: Results: The incidence of POAP after urgent surgical interventions consisted 0,3%, after endoscopic transpapillary interventions - 18,25%. In the structure of urgent surgical interventions complicated by POAP, gastric and duodenal surgery - 25% (13) and splenectomy - 9,6% (5) were dominating. There was a significant predominance of men in the group of patients with POAP after abdominal interventions and a significant predominance of women in the group with endoscopic retrograde cholangiopancreatography induced POAP (ERCP-induced POAP). POAP can develop at any age; up to 70 years of age, there was an increase in the incidence of POAP with the age of patients, and after 70 years of age the incidence rate was decreasing. The dominant morphological form of POAP was edematous - 67,3% (35).

Conclusion: Conclusions: The issue of a unified definition of POAP after operations on internal organs of nonresectional genesis is not resolved. The incidence rate of POAP after surgeries on internal organs, which have direct anatomical and functional relationship with the pancreas dominate.