지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2008.6
- 수록면
- 140 - 144 (5page)
이용수
초록· 키워드
오류제보하기
Introduction and Aim: Acute pancreatitis is an inflammatory process of varying severity, ranging from a mild, self-limiting form to severe acute pancreatitis, which leads to complications such as necrosis, pseudocyst formation, and organ failure. This highly lethal condition should be differentiated from acute abdomen caused by other diseases as early as possible so appropriate management can be carried out.
Patients and Methods: A survey was carried out to determine the current status of management for this particular disease in Korea. A total of 269 patients were collected from 13 university hospitals during a four and a half year period (January 2000 to June 2004).
Results: Of the 269 patients, 103 (38.3%) were managed with surgery, and 166 (61.7%) were managed with conservative treatment. The most commonly performed surgical procedure was debridement of necrotic tissue with closed drainage. The most common etiology was alcohol, with 143 cases (53.4%), followed by gallstones, with 48 cases (17.9%). E. coli was the most commonly cultured bacterium. The mortality rate in surgically managed patients was 9.7%. The mortality rate in conservatively treated patients was 7.2% .
Conclusion: Patients with infected pancreatic necrosis should be managed with surgical necrosectomy and drainage. However, patients with sterile necrosis should be managed conservatively unless organ complications or severe clinical deterioration develops despite intensive therapy. Patient survival is improved through early diagnosis, followed by adequate drainage in combination with intensive care.
Patients and Methods: A survey was carried out to determine the current status of management for this particular disease in Korea. A total of 269 patients were collected from 13 university hospitals during a four and a half year period (January 2000 to June 2004).
Results: Of the 269 patients, 103 (38.3%) were managed with surgery, and 166 (61.7%) were managed with conservative treatment. The most commonly performed surgical procedure was debridement of necrotic tissue with closed drainage. The most common etiology was alcohol, with 143 cases (53.4%), followed by gallstones, with 48 cases (17.9%). E. coli was the most commonly cultured bacterium. The mortality rate in surgically managed patients was 9.7%. The mortality rate in conservatively treated patients was 7.2% .
Conclusion: Patients with infected pancreatic necrosis should be managed with surgical necrosectomy and drainage. However, patients with sterile necrosis should be managed conservatively unless organ complications or severe clinical deterioration develops despite intensive therapy. Patient survival is improved through early diagnosis, followed by adequate drainage in combination with intensive care.
목차
서론
대상 및 방법
결과
고찰
참고문헌
참고문헌 (27)
참고문헌 신청
1. [학술지(정기간행물)] - Bradley EL, 3rd / 1993 / A clinically based classification system for acute pancreatitis. Summary of the International Symposium on Acute Pancreatitis / Arch Surg 128 (5) : 586 ~ 590
2. [학술지(정기간행물)] - Kager L / 1971 / Alcohol consumption and pancreatitis in men—an intensive study of a one year material / Nord Med 85 (13) : 413 ~
3. [학술지(정기간행물)] - Steinberg W / 1994 / Acute pancreatitis / N Engl J Med 330 (17) : 1198 ~ 1210
4. [학술지(정기간행물)] - Beger HG / 1997 / Natural course of acute pancreatitis / World J Surg 21 (2) : 130 ~ 135
5. [학술지(정기간행물)] - Beger HG / 1991 / Surgery in acute pancreatitis / Hepatogastroenterology 38 (2) : 92 ~ 96
2. [학술지(정기간행물)] - Kager L / 1971 / Alcohol consumption and pancreatitis in men—an intensive study of a one year material / Nord Med 85 (13) : 413 ~
3. [학술지(정기간행물)] - Steinberg W / 1994 / Acute pancreatitis / N Engl J Med 330 (17) : 1198 ~ 1210
4. [학술지(정기간행물)] - Beger HG / 1997 / Natural course of acute pancreatitis / World J Surg 21 (2) : 130 ~ 135
5. [학술지(정기간행물)] - Beger HG / 1991 / Surgery in acute pancreatitis / Hepatogastroenterology 38 (2) : 92 ~ 96
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
급성 괴사성 췌장염의 수술적 치료
Annals of Surgical Treatment and Research
1998 .02
-
감염된 괴사성 췌장염에 대해 시행된 복강경 괴사제거술
Annals of Surgical Treatment and Research
2008 .05
-
급성 췌장염에서의 내시경 역할
대한내과학회지
2013 .01
-
급성 괴사성 췌장염의 임상적 고찰
Annals of Hepato-Biliary-Pancreatic Surgery
1998 .06
-
급성 췌장염의 중증도 평가
대한내과학회지
2013 .01
-
급성 괴사성 췌장염의 수술적 경험
Annals of Hepato-Biliary-Pancreatic Surgery
2006 .09
-
중증 급성 췌장염의 영양치료
한국간담췌외과학회 학술대회지
2004 .10
-
급성 감염성 췌장 괴사 환자의 후복강 배액술의 의의
Annals of Hepato-Biliary-Pancreatic Surgery
1999 .06
-
급성췌장염에 의한 감염성 합병증의 내시경적 내부배액술 치료 효과
Clinical Endoscopy
2004 .01
-
급성 괴사성 췌장염의 임상적 고찰
대한외과학회 학술대회 초록집
1997 .05
-
Surgical Treatment of Patients with Severe Acute Pancreatitis
한국간담췌외과학회 학술대회지
2004 .10
-
Endoscopic Necrosectomy for Walled-Off Pancreatic Necrosis
Clinical Endoscopy
2012 .01
-
급성췌장염으로 수술한 15예의 임상분석
Annals of Surgical Treatment and Research
1993 .04
-
괴사성 췌장염의 임상적 고찰
Annals of Surgical Treatment and Research
1996 .11
-
급성 괴사성 췌장염에 대해 시행된 복강경 괴사조직 제거술
대한외과학회 학술대회 초록집
2005 .10
-
급성 췌장염의 내과적 치료
대한내과학회지
2008 .01
-
소아의 급성 췌장염에 대한 임상적 고찰
Annals of Surgical Treatment and Research
1986 .03
-
316. 급성 괴사성 췌장염의 외과적 고찰
대한외과학회 학술대회 초록집
1998 .11
-
개의 급성 괴사성 췌장염에서 CT의 활용과 괴사조직제거술의 적용 2례
WITH CAP(COMPANION ANIMAL PRACTICE)
2018 .02
-
급성 괴사성 췌장염에 동반된 대장 천공 1예
대한내과학회지
2014 .01
이 논문의 저자 정보
이 논문과 함께 이용한 논문
중증 급성췌장염의 내과적 치료
김호각
한국간담췌외과학회 학술대회지
2004
.10
강화된 걷기운동 중재가 심부전 환자의 호흡곤란과 피로증상, 일상생활 기능상태, 보행능력 및 건강 관련 삶의 질에 미치는 효과
진혜경
,
이해정
성인간호학회지
2016
.06
괴사성 장염의 수술 경험
남소현
,
김대연
,
김성철
외 1명
Annals of Surgical Treatment and Research
2009
.04
위 수술 기왕력이 없는 환자의 심낭종성 위염에서 발생한 위암
김준영
,
허훈
,
조용관
외 1명
Annals of Surgical Treatment and Research
2010
.12
외과의사로서의 도전과 과제
Sung Joo Kim
대한외과학회 학술대회 초록집
2017
.11
최근 본 자료
댓글(0)
0
UCI(KEPA) : I410-ECN-0101-2014-514-001248164