The American Journal of Digestive Diseases

, Volume 3, Issue 6, pp 427–435 | Cite as

Acute pancreatic necrosis

A clinical and pathologic study of the factors affecting mortality
  • Andreas D. Demetriades
  • Silik H. Polayes
Article
  • 13 Downloads

Summary and conclusions

Thirty-two cases of acute pancreatic necrosis have been reported, including 20 fatal cases, 19 of which had postmortem studies.

Alcoholism appeared to be a precipitating factor.

Serum amylase determinations were not very helpful, being elevated in only 50 per cent of cases.

Transient glycosuria and albuminuria were frequent. Elevated blood sugar occurred in about half of the cases and was a grave prognostic sign especially when associated with normal serum amylase studies.

Other grave prognostic signs included old age, history of hypertension and diabetes, and the development of shock and hyperglycemia. The incidence of concurrent gallbladder disease was low.

The over-all mortality was 62.5 per cent. All autopsied cases showed pancreatic necrosis, and the majority showed fatty metamorphosis of the liver.

Keywords

Public Health Blood Sugar Hypertension Sugar Hyperglycemia 

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References

  1. 1.
    Roberts, N. J., Baggenstoss, A. H., andComfort, M. W. Acute pancreatic necrosis.Am. J. Clin. Path. 20:742, 1950.PubMedGoogle Scholar
  2. 2.
    O'Brien, J. J., andThayer, R. T. Pancreatitis.New England J. Med. 253:355, 1955.Google Scholar
  3. 3.
    Dreiling, D. A., andJanowitz, H. D., A review of modern concepts of pancreatic disease.New York J. Med. 56:2992, 1956.PubMedGoogle Scholar
  4. 4.
    Richman, A. Acute pancreatitis.Am. J. Med. 21:246, 1956.PubMedGoogle Scholar
  5. 5.
    Gottesman, J., Gasten, D., andBeller, A. J. Changes in the electrocardiogram induced by acute pancreatitis.J.A.M.A. 123:892, 1943.Google Scholar
  6. 6.
    Glenn, J. C., andBaylin, G. J. The roentgen findings in acute pancreatitis.Am. J. Roentgenol. 57:604, 1947.Google Scholar
  7. 7.
    Kaplan, M. H. Acute and chronic relapsing pancreatitis: The clinical implication of their acceptance as disease of adaptation.Am. J. Gastroenterol. 25:234, 1956.PubMedGoogle Scholar
  8. 8.
    Kaplan, M. H. Steroid therapy in acute pancreatitis.Am. J. Digest. Dis., N.S. 2, 696, 1957.Google Scholar

Copyright information

© Paul B. Hoeber, Inc. 1958

Authors and Affiliations

  • Andreas D. Demetriades
    • 1
  • Silik H. Polayes
    • 1
  1. 1.From the Department of PathologyCumberland HospitalBrooklyn

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