@entity660 in severe XXXX : early diagnosis and therapy improve the outcome.

@entity1 @entity788 @entity660 @entity3472 @entity1230 @entity9007 @entity1320 @entity130
BACKGROUND: @entity660 is a dangerous complication in @entity1230 , and experience with its diagnosis and treatment is usually limited. METHOD: Retrospective analysis of 3,840 @entity1 admitted after multiple @entity130 from January 1, 1982, until May 31, 2000. RESULTS: A laparotomy was performed in 121 cases (3.15%) due to suspected @entity1320 . 32% of the @entity1 (39/121) had a @entity660 ; 23% (9/39) had a rupture of the major pancreatic duct. Primary laparotomy was performed in 72% of the @entity1 (28/39). Superficial lesions were treated by explorative laparotomy alone (n = 7), debridement and external drainage (n = 20), or necrosectomy and lavage (n = 3). @entity660 were treated by pancreatojejunostomies (n = 5), pancreatic left resections (n = 2), or exploration alone (n = 2). 8 of 39 @entity1 died (20%), 4 intraoperatively. Of the surviving 35 @entity1 , a pancreas-associated complication developed in 8 @entity1 (23%): pancreatic abscesses (n = 4), traumatic @entity788 (n = 3), @entity3472 (n = 2), and @entity9007 (n = 2). CONCLUSIONS: @entity660 is an infrequent but dangerous complication in severe @entity130 . Superficial lesions not affecting the major pancreatic duct can be managed by debridement and external drainage. If the major pancreatic duct is ruptured, organ-preserving, complex reconstructive procedures are necessary. When diagnosed timely and treated according to severity and overall situation, @entity660 have an acceptable morbidity, but usually a high mortality.
