Skip to main content
SpringerLink
Log in

Acute Pancreatitis: Diagnosis and Complications

  • Chapter
Contemporary Internal Medicine

Part of the book series: Contemporary Internal Medicine ((COIM,volume 3))

  • 96 Accesses

Abstract

This was the first admission to Ohio State University Hospitals for this previously healthy 38-year-old white male. Four days prior to admission he began manifesting epigastric pain with radiation to the back. The discomfort began in the morning shortly after eating, and persisted throughout the day. He presented to his local hospital where he was admitted with an amylase of 250 U/dl and a triglyceride level of 2,500 mg/dl.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 249.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. McDermott WV Jr, Bartlett MK, Culver PJ: Acute pancreatitis after prolonged fast and subsequent surfeit. N Engl J Med 1956;254:379.

    Article  PubMed  Google Scholar 

  2. Venu RP, Geenen JE, Hogan WJ, et al: Role of endoscopic retrograde cholangiopancreatography in the diagnosis and treatment of cholecochocele. Gastroenterology. 1984;87:1144.

    PubMed  CAS  Google Scholar 

  3. Nakamura K, Sarles M, and Payan H: Three-dimensional reconstruction of the pancreatic ducts in chronic pancreatitis. Gastroenterology. 1972;62:942.

    PubMed  CAS  Google Scholar 

  4. Lotveit T, Aune S, Johnsrud NK, et al: The clinical significance of juxta-papillary duodenal diverticula. Scand J Gastroenterol. 10(1975;suppl. 34)22.

    Google Scholar 

  5. Farmer RC, Masiin SC, and Reber HA: Acute pancreatitis — Role of duct permeability. Surg Forum. 1983;34:224.

    CAS  Google Scholar 

  6. Creutzfeldt W, Schmidt H: Aetiology and pathogenesis of pancreatitis Scand. J Gastroenterol. 1970;5(suppl 6):47.

    CAS  Google Scholar 

  7. Geenen JE, Hogan WJ, Dodds WJ, et al: Intraluminal pressure recording from the human sphincter of Oddi. Gastroenterology. 1980;78:317.

    PubMed  CAS  Google Scholar 

  8. Opie EL: The etiology of acute hemorrhagic pancreatitis. Bull Johns Hopkins Hosp 1901;12:182.

    Google Scholar 

  9. Acosta JM, Rossi R, Ledesma CL: The usefulness of stool screening for diagnosing cholelithiasis in acute pancreatitis. A description of the technique. Am J Dig Dis. 1977;22:168.

    Article  PubMed  CAS  Google Scholar 

  10. DiMagno EP, Shorter RG, and Taylor WF: Relationships between pancreaticobiliary ductal anatomy and pancreatic ductal parenchymal histology. Cancer. 1982;49:361.

    Article  PubMed  CAS  Google Scholar 

  11. Anderson MC, Mehn WH, Methad HL: An evaluation of the common channel as a factor in pancreatic or biliary disease. Ann Surg. 1960;151:379.

    Article  PubMed  CAS  Google Scholar 

  12. Steer ML, Meldolesi J, Figarella C: Pancreatitis: The role of lysosomes Dig Dis Sci. 1984;29:934.

    Article  PubMed  CAS  Google Scholar 

  13. Geokas MC, Rinderknecht H, Swanson V, et al: The role of elastase in acute hemorrhagic pancreatitis in man. Lab. Invest 1968;19:235.

    Google Scholar 

  14. Lasson A: Acute pancreatitis in man A clinical and biochemical study of pathophysiology and treatment. Scand J Gastroenterol. 1984;19(suppl 99):1.

    Google Scholar 

  15. Peterson LM, Brooks JR: Lethal pancreatitis: A diagnostic dilemma. Am J Surg 1979;127:491.

    Article  Google Scholar 

  16. Dickson AP, O’Neill J, Imrie CW: Hyperlipidaemia alcohol abuse and acute pancreatitis. Br J Surg 1984;71:685.

    Article  PubMed  CAS  Google Scholar 

  17. Eckfeldt JH, Kolars JC, Elson MK, et al: Serum tests for pancreatitis in patients with abdominal pain. Arch Pathol Lab Med. 1985;109:316.

    PubMed  CAS  Google Scholar 

  18. Steinberg WM, Goldstein SS, Davis ND, et al: Diagnostic assays in acute pancreatitis. A study of sensitivity and specificity. Ann Intern Med. 1985;102:576.

    Article  CAS  Google Scholar 

  19. Buchler M, Malfertheiner P, Uhl W, et al: A new staging system in patients with acute pancreatitis, (abstract). Gastroenterology. 1986;90:1361.

    Google Scholar 

  20. VanDyke JA, Stanley RJ, Berland LL: Diagnosis and treatment. Pancreatic imaging. Ann Intern Med. 1985;102:212.

    Article  CAS  Google Scholar 

  21. Balthazar EJ, Ranson JHC, Naidich DP, et al: Acute pancreatitis: Prognostic value of CT. Radiology. 1985;156:767–772.

    PubMed  CAS  Google Scholar 

  22. Sostre CF, Flournoy JG, Bova JG, et al: Pancreatic phlegmon clinical features and course. Dig Dis Sci 1985;30:918–927.

    Article  PubMed  CAS  Google Scholar 

  23. Nordestgaard AG, Wilson SE, Williams RA: Early computerized tomography as a predictor of outcome in acute pancreatitis. Am J Surg. 1986;152:127–132.

    Article  PubMed  CAS  Google Scholar 

  24. Vernacchia FS, Jeffrey RB, Federle MP, et al: Pancreatic abscess: Predictive value of early abdominal CT. Radiology. 1987;162:435–438.

    PubMed  CAS  Google Scholar 

  25. Jeffrey RB, Grendell JH, Federle MP, et al: Improved survival with early CT diagnosis of pancreatic abscess. Gastrointest Radioi. 1987;12:26–30.

    Article  Google Scholar 

  26. Gerzof SG, Banks PA, Robbins AH, et al: Early diagnosis of pancreatic infection by computed tomography-guided aspiration. Gastroenterology. 1987;93:1315–1320.

    PubMed  CAS  Google Scholar 

  27. Bittner R, Block S, Buchler M, et al: Pancreatic abscess and infected pancreatic necrosis; different local septic complications in acute pancreatitis. Dig Dis Sci. 1987;32:1082.

    Article  PubMed  CAS  Google Scholar 

  28. Banks PA, Gersoz SG, Robbins AH, et al: Diagnosis of pancreatic infection by CT-guided aspiration: An update. Pancreas 3. 1988;5:590.

    Google Scholar 

  29. Howard MJ: Gallstone pancreatitis, in Howard JM, Jordan GL Jr, Reber HA (eds): Surgical Diseases of the Pancreas Philadelphia Lea & Febiger 1987 p. 269.

    Google Scholar 

  30. Goodman AJ, Neoptolemos JP, Carr-Locke DL, et al: Detection of gallstones after acute pancreatitis. Gut. 1985;26:125.

    Article  PubMed  CAS  Google Scholar 

  31. Safrany L, Cotton PB: A preliminary report: urgent duodenoscopic sphincterotomy for acute gallstone pancreatitis. Surgery. 1981;89:424.

    PubMed  CAS  Google Scholar 

  32. Mayer AD, McMahoy MJ, Corfield AP, et al: Controlled clinical trial of peritoneal lavage for the treatment of severe acute pancreatitis. N Engl J Med. 1985;312:399.

    Article  PubMed  CAS  Google Scholar 

  33. Stone HH, Fabian TC: Peritoneal dialysis in the treatment of acute alcoholic pancreatitis. Surg Gynecol Obstet. 1980;150:878.

    PubMed  CAS  Google Scholar 

  34. Waterman NG, Walsky R, Kasdan ML, et al: The treatment of acute hemorrhagic pancreatitis by sump drainage. Surg Gynecol Obstet. 1968;126:963.

    PubMed  CAS  Google Scholar 

  35. Nordback IH and Auvinen OA: Long-term results after pancreas resection for acute necrotizing pancreatitis Br J Surg. 1985;72:687.

    Article  PubMed  CAS  Google Scholar 

  36. Beger HG, Bittner R, Block S, et al: Bacterial contamination of pancreatic necrosis A prospective clinical study. Gastroenterology. 1986;91:433.

    PubMed  CAS  Google Scholar 

  37. Pellegrini CA: The treatment of acute pancreatitis: A continuing challenge (editorial). N Engl J Med. 1985;312:436.

    Article  PubMed  CAS  Google Scholar 

  38. Reber HA: Surgical intervention in necrotizing pancreatitis (editorial). Gastroenterology. 1986;91:479.

    PubMed  CAS  Google Scholar 

  39. Goldstein DA, Llach R, Massry SG: Acute renal failure in patients with acute pancreatitis. Arch Intern Med. 1976;136:1363.

    Article  PubMed  CAS  Google Scholar 

  40. Dickson AP, Imrie CW: The incidence and prognosis of body wall ecchymosis in acute pancreatitis. Surg Gynecol Obstet. 1984;159:343.

    PubMed  CAS  Google Scholar 

  41. Clavien PA, Hauser H, Meyer P, et al: Value of contrast-enhanced computerized tomography in the early diagnosis and prognosis of acute pancreatitis. A prospective study of 202 patients. Am J Surg. 1988;155:457.

    Article  PubMed  CAS  Google Scholar 

  42. Pubols MH, Bartelt DC, Greene LJ: Trypsin inhibitor from human pancreas and pancreatic juice. J Biol Chem. 1974;249:2235.

    PubMed  CAS  Google Scholar 

  43. Warshaw AL, Lesser PB, Rie M, et al: The pathogenesis of pulmonary edema in acute pancreatitis. Ann Surg. 1975;182:505.

    Article  PubMed  CAS  Google Scholar 

  44. Cotton PB, Beales JSM: Endoscopic pancreatography in management of relapsing acute pancreatitis Br Med J. 1974;1:608.

    Article  PubMed  CAS  Google Scholar 

  45. Feller ER: Endoscopic retrograde cholangiopancreatography in the diagnosis of unexplained pancreatitis. Arch Intern Med. 1984;144:1797.

    Article  PubMed  CAS  Google Scholar 

  46. Geenen JE, Hogan WJ, Dodds WJ, et al: Intraluminal pressure recording from the human sphincter of Oddi. Gastroenterology. 1980;78:317.

    PubMed  CAS  Google Scholar 

  47. Toouli J, Roberts-Thomson IC, Dent J, et al: Sphincter of Oddi motility disorders in patients with idiopathic recurrent pancreatitis. Br J Surg. 1985;72:859.

    Article  PubMed  CAS  Google Scholar 

  48. Venu RP, Geenen JE, Hogan WJ, et al: Idiopathic recurrent pancreatitis (IRP): Diagnostic role of ERCP and sphincter of Oddi manometry. Gastrointest Endosc. 1985;31:141.

    Article  Google Scholar 

  49. Moody FG, Berenson MM, McCloskey D: Transampullary septectomy for postcholecystectomy pain. Ann Surg. 1977;186:415.

    Article  PubMed  CAS  Google Scholar 

Download references

Authors
  1. David B. Thomas MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. John J. Fromkes MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. The Ohio State University, Columbus, Ohio, USA

    Juan M. Bowen M.D.  & Ernest L. Mazzaferri M.D., FACP  & 

Rights and permissions

Reprints and permissions

Copyright information

© 1991 Springer Science+Business Media New York

About this chapter

Cite this chapter

Thomas, D.B., Fromkes, J.J. (1991). Acute Pancreatitis: Diagnosis and Complications. In: Bowen, J.M., Mazzaferri, E.L. (eds) Contemporary Internal Medicine. Contemporary Internal Medicine, vol 3. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-9823-4_17

Download citation

  • DOI: https://doi.org/10.1007/978-1-4757-9823-4_17

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4757-9825-8

  • Online ISBN: 978-1-4757-9823-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation