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World Journal of Surgery

, Volume 26, Issue 4, pp 479–486 | Cite as

Pancreatic Function after Acute Biliary Pancreatitis: Does It Change?

  • Eugenia Pareja Ibars
  • Enrique Artigues Sánchez de Rojas
  • Luis Aparisi Quereda
  • Ricardo Fabra Ramis
  • Vicente Martínez Sanjuan
  • Ramón Trullenque Peris

According to the Cambridge and Marseilles symposia, morphologic and functional recovery from acute biliary pancreatitis (ABP) occurs if the initial cause and complications are eradicated. Nevertheless, in recent years there has been controversy over this topic, and varying results have been reported. These differing results may be due to different diagnostic methods, number of patients studied with regard to etiologic factors, severity of the disease, and differences in the tests used. A total of 63 ABP patients [17 male (27%), 46 female (73%); 45 mild, 18 severe] were prospectively studied. All patients underwent cholecystectomy. No patient in this series underwent necrosectomy or pancreatectomy. During the acute phase the severity of the disease was assessed following the Atlanta criteria, and the occurrence and rate of necrosis were determined by dynamic computed tomography. Exocrine and endocrine pancreatic functions were assessed at 1 month, 6 months, and 1 year after the ABP episode by means of various pancreatic function tests. We evaluated the occurrence of pancreatic failure following ABP and if this deficiency was associated with the severity of the episode. According to the classic symposia criteria, the study showed no deficit in exocrine or endocrine pancreatic function. No statistically significant differences were found when the pancreatic function and severity of the process were assessed.

Keywords

Compute Tomography Pancreatitis Acute Phase Functional Recovery Diagnostic Method 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Société Internationale de Chirurgie 2002

Authors and Affiliations

  • Eugenia Pareja Ibars
    • 1
  • Enrique Artigues Sánchez de Rojas
    • 1
  • Luis Aparisi Quereda
    • 2
  • Ricardo Fabra Ramis
    • 1
  • Vicente Martínez Sanjuan
    • 3
  • Ramón Trullenque Peris
    • 1
  1. 1.Department of Surgery, General University Hospital of Valencia, Avenida Tres Cruces s/n, Valencia 46014, SpainSPAIN
  2. 2.Department of Digestive Diseases, University Clinic Hospital of Valencia, Avenida Blasco Ibañez s/n, Valencia 46010, SpainSPAIN
  3. 3.Department of Radiology, ERESA, General University Hospital of Valencia, Avenida Tres Cruces s/n, Valencia 46014, SpainSPAIN

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