Postoperative pancreatitis

J. S. Thompson, L. E. Bragg, P. E. Hodgson, L. F. Rikkers

Research output: Contribution to journalArticle

33 Citations (Scopus)

Abstract

Our experience with 52 patients who had postoperative pancreatitis develop during a nine year period was reviewed to characterize this group, to determine the incidence of complications and to identify variables predictive of complications. Biliary tract procedures (n=10), colectomy (n=9) and intestinal resection (n=9) were the most frequently performed operations preceding pancreatitis. Thirty of the procedures were near the pancreas. Pancreatitis was detected within seven days of the operation in 26 of the patients. Sixteen patients had complications related to the pancreas, 12 had other nonlethal complications and nine died. Fourteen patients had severe pancreatitis (≥3 Ranson's criteria) and were more likely to have a complicated course (p<0.05). Complications related to the pancreas included pancreatic pseudocyst (n=9), abscess (n=4), fistula (n=2) and arterial hemorrhage (n=1). Age, operation performed, serum amylase level and frequency of hypotension, renal failure and other complications were similar in patients with and without complications related to the pancreas. A high index of suspicion must remain throughout the postoperative period to recognize inflammation of the pancreas and its complications so that prompt diagnosis and management can be undertaken.

Original languageEnglish (US)
Pages (from-to)377-380
Number of pages4
JournalSurgery Gynecology and Obstetrics
Volume167
Issue number5
StatePublished - Jan 1 1988

Fingerprint

Pancreatitis
Pancreas
Pancreatic Pseudocyst
Colectomy
Biliary Tract
Amylases
Postoperative Period
Hypotension
Abscess
Fistula
Renal Insufficiency
Hemorrhage
Inflammation
Incidence
Serum

ASJC Scopus subject areas

  • Surgery
  • Obstetrics and Gynecology

Cite this

Thompson, J. S., Bragg, L. E., Hodgson, P. E., & Rikkers, L. F. (1988). Postoperative pancreatitis. Surgery Gynecology and Obstetrics, 167(5), 377-380.

Postoperative pancreatitis. / Thompson, J. S.; Bragg, L. E.; Hodgson, P. E.; Rikkers, L. F.

In: Surgery Gynecology and Obstetrics, Vol. 167, No. 5, 01.01.1988, p. 377-380.

Research output: Contribution to journalArticle

Thompson, JS, Bragg, LE, Hodgson, PE & Rikkers, LF 1988, 'Postoperative pancreatitis', Surgery Gynecology and Obstetrics, vol. 167, no. 5, pp. 377-380.
Thompson JS, Bragg LE, Hodgson PE, Rikkers LF. Postoperative pancreatitis. Surgery Gynecology and Obstetrics. 1988 Jan 1;167(5):377-380.
Thompson, J. S. ; Bragg, L. E. ; Hodgson, P. E. ; Rikkers, L. F. / Postoperative pancreatitis. In: Surgery Gynecology and Obstetrics. 1988 ; Vol. 167, No. 5. pp. 377-380.
@article{95428a2c8bb842b9a22bfdb8bf2a364c,
title = "Postoperative pancreatitis",
abstract = "Our experience with 52 patients who had postoperative pancreatitis develop during a nine year period was reviewed to characterize this group, to determine the incidence of complications and to identify variables predictive of complications. Biliary tract procedures (n=10), colectomy (n=9) and intestinal resection (n=9) were the most frequently performed operations preceding pancreatitis. Thirty of the procedures were near the pancreas. Pancreatitis was detected within seven days of the operation in 26 of the patients. Sixteen patients had complications related to the pancreas, 12 had other nonlethal complications and nine died. Fourteen patients had severe pancreatitis (≥3 Ranson's criteria) and were more likely to have a complicated course (p<0.05). Complications related to the pancreas included pancreatic pseudocyst (n=9), abscess (n=4), fistula (n=2) and arterial hemorrhage (n=1). Age, operation performed, serum amylase level and frequency of hypotension, renal failure and other complications were similar in patients with and without complications related to the pancreas. A high index of suspicion must remain throughout the postoperative period to recognize inflammation of the pancreas and its complications so that prompt diagnosis and management can be undertaken.",
author = "Thompson, {J. S.} and Bragg, {L. E.} and Hodgson, {P. E.} and Rikkers, {L. F.}",
year = "1988",
month = "1",
day = "1",
language = "English (US)",
volume = "167",
pages = "377--380",
journal = "Journal of the American College of Surgeons",
issn = "1072-7515",
publisher = "Elsevier Inc.",
number = "5",

}

TY - JOUR

T1 - Postoperative pancreatitis

AU - Thompson, J. S.

AU - Bragg, L. E.

AU - Hodgson, P. E.

AU - Rikkers, L. F.

PY - 1988/1/1

Y1 - 1988/1/1

N2 - Our experience with 52 patients who had postoperative pancreatitis develop during a nine year period was reviewed to characterize this group, to determine the incidence of complications and to identify variables predictive of complications. Biliary tract procedures (n=10), colectomy (n=9) and intestinal resection (n=9) were the most frequently performed operations preceding pancreatitis. Thirty of the procedures were near the pancreas. Pancreatitis was detected within seven days of the operation in 26 of the patients. Sixteen patients had complications related to the pancreas, 12 had other nonlethal complications and nine died. Fourteen patients had severe pancreatitis (≥3 Ranson's criteria) and were more likely to have a complicated course (p<0.05). Complications related to the pancreas included pancreatic pseudocyst (n=9), abscess (n=4), fistula (n=2) and arterial hemorrhage (n=1). Age, operation performed, serum amylase level and frequency of hypotension, renal failure and other complications were similar in patients with and without complications related to the pancreas. A high index of suspicion must remain throughout the postoperative period to recognize inflammation of the pancreas and its complications so that prompt diagnosis and management can be undertaken.

AB - Our experience with 52 patients who had postoperative pancreatitis develop during a nine year period was reviewed to characterize this group, to determine the incidence of complications and to identify variables predictive of complications. Biliary tract procedures (n=10), colectomy (n=9) and intestinal resection (n=9) were the most frequently performed operations preceding pancreatitis. Thirty of the procedures were near the pancreas. Pancreatitis was detected within seven days of the operation in 26 of the patients. Sixteen patients had complications related to the pancreas, 12 had other nonlethal complications and nine died. Fourteen patients had severe pancreatitis (≥3 Ranson's criteria) and were more likely to have a complicated course (p<0.05). Complications related to the pancreas included pancreatic pseudocyst (n=9), abscess (n=4), fistula (n=2) and arterial hemorrhage (n=1). Age, operation performed, serum amylase level and frequency of hypotension, renal failure and other complications were similar in patients with and without complications related to the pancreas. A high index of suspicion must remain throughout the postoperative period to recognize inflammation of the pancreas and its complications so that prompt diagnosis and management can be undertaken.

UR - http://www.scopus.com/inward/record.url?scp=0023717479&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0023717479&partnerID=8YFLogxK

M3 - Article

C2 - 2459789

AN - SCOPUS:0023717479

VL - 167

SP - 377

EP - 380

JO - Journal of the American College of Surgeons

JF - Journal of the American College of Surgeons

SN - 1072-7515

IS - 5

ER -