Programmed Reintervention in Necrotizing Pancreatitis

Conference paper


All observations on surgical procedure in the treatment of acute pancreatitis must take into consideration the requirement for continuous intensive care [6]. The question as to the “when” and, above all, “how” of the operation is still subject to controversy. The impression often arises that there are simple alternatives or methodological dogmatisms: early or late operation?; necroctomy, resection, lavage or “open packing”? [1, 4, 5, 7, 8, 17, 19, 21, 22].


Acute Pancreatitis Severe Acute Pancreatitis Peritoneal Lavage Necrotizing Pancreatitis Acute Necrotizing Pancreatitis 
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  1. 1.
    Aldridge MC, Ornstein M, Glazer G (1985) Pancreatic resection for severe acute pancreatitis. Br J Surg 72:796PubMedCrossRefGoogle Scholar
  2. 2.
    Beger HG, Bittner R, Block S, Büchler M (1986) Bacterial contamination of pancreatic necrosis. Gastroenterologie 91:433Google Scholar
  3. 3.
    Beger HG, Büchler M, Bittner R, Oettinger W, Block S, Nevalainen TJ (1987) Necrosectomy and postoperative local lavage in patients with necrotizing pancreatitis. Results of a prospective clinical trial. In: Beger HG, Büchler M (eds) Acute pancreatitis. Springer, Berlin Heidelberg New York, p 335Google Scholar
  4. 4.
    Beger HG, Büchler M, Bittner R, Oettinger W, Block S, Nevalainen TJ (1988) Necrosectomy and postoperative local lavage in patients with necrotizing pancreatitis. Results of a prospective clinical trial. World J Surg 12:255PubMedCrossRefGoogle Scholar
  5. 5.
    Bradley EL III (1987) Management of infected pancreatic necrosis by open drainage. Ann Surg 206:542PubMedCrossRefGoogle Scholar
  6. 6.
    Creutzfeldt W, Lankisch PG (1981) Intensive medical treatment of severe acute pancreatitis. World J Surg 5:341PubMedCrossRefGoogle Scholar
  7. 7.
    Gebhardt C, Gall FP (1981) Importance of peritoneal irrigation after surgical treatment of hemorrhagic necrotizing pancreatitis. World J Surg 5:379PubMedCrossRefGoogle Scholar
  8. 8.
    Hölscher M, Bartels H, Siewert IR (1988) Kompartementierung des Abdomens als Behandlungsprinzip bei der akuten Pankreatitis. Chir Gastroenterol 4:113Google Scholar
  9. 9.
    Horn J (1983) Das Ileostoma als Teil der chirurgischen Therapie-konzeption bei der akuten Pankreatitis. Chirurg 54:320PubMedGoogle Scholar
  10. 10.
    Horn J (1989) Akute Pankreatitis: Indikationen und Erfolge der operativen Therapie. Z Gastroenterol 24:99Google Scholar
  11. 11.
    Ihse I, Evander A, Gustafson I et al. (1986) Influence of peritoneal lavage on objective prognostic signs in acute pancreatitis. Ann Surg 204:122PubMedCrossRefGoogle Scholar
  12. 12.
    Kivilaakso E, Lempinen M, Mäkeläinen A (1984) Pancreatic resection versus peritoneal lavation for acute fulminant pancreatitis. Ann Surg 199:426PubMedCrossRefGoogle Scholar
  13. 13.
    Kivilaakso E, Valtonen W, Malkamäki M et al. (1984) Endotoxinaemia and acute pancreatitis: correlation between the severety of the disease and the antienterobacterial common antigen antibody titer. Gut 25:1065PubMedCrossRefGoogle Scholar
  14. 14.
    Lange JF, van Gool J, Tytgat GNJ (1987) The protective effect of a reduction in intestinal flora on mortality of acute haemorrhagic pancreatitis in the rat. Hepatogastroenterology 34:28PubMedGoogle Scholar
  15. 15.
    Liehr H, Grün M, Seelig R, Seelig H-P (1980) Endotoxinämie bei akuter Pankreatitis. Leber Magen Darm 10:259PubMedGoogle Scholar
  16. 16.
    Mayer AD, McMahon MJ, Corfield AP, Cooper MJ, Williamson RCN, Dickson AP, Shearer MG, Imrie CW (1985) Controlled clinical trial of peritoneal lavage for the treatment of severe acute pancreatitis. N Engl J Med 312:399PubMedCrossRefGoogle Scholar
  17. 17.
    Nordback IH, Auvinen OA (1985) Long-term results after pancreas resection for acute necrotizing pancreatitis.Google Scholar
  18. 18.
    Ranson JHC (1981) Conservative surgical treatment of acute pancreatitis. World J Surg 5:351PubMedCrossRefGoogle Scholar
  19. 19.
    Ranson JHC (1990) The role of surgery in the management of acute pancreatitis. Ann Surg 211:382PubMedCrossRefGoogle Scholar
  20. 20.
    Ranson JHC, Rifkind KM, Turner JW (1976) Prognostic signs and nonoperative peritoneal lavage in acute pancreatitis. Surg Gynecal Obstet 143:209Google Scholar
  21. 21.
    Stanten R, Frey CF (1990) Comprehensive management of acute necrotizing pancreatitis and pancreatic abscess. Arch Surg 125:1269PubMedGoogle Scholar
  22. 22.
    Teerenhovi O, Nordback I, Isolami J (1988) Influence of pancreatic resection in systemic complications in acute necrotizing pancreatitis. Br J Surg 75:793PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1993

Authors and Affiliations

  • J. Horn
    • 1
  1. 1.Department of SurgeryMunich-Harlaching Municipal HospitalMünchen 90Germany

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