Diagnóstico y tratamiento de la pancreatitis aguda en la Argentina. Resultados de un estudio prospectivo en 23 centros.
Acta gastroenterologica Latinoamericana(2015)
摘要
In Argentina there are no multicenter studies evaluating the
management of patients with acute pancreatitis (AP) nationwide.
OBJECTIVES:The main objective of this study is to
know how the patients with AP are treated in Argentina.
The secondary objective is to assess whether the results comply
with the recommendation of the American College of Gastroenterology
Guide.
MATERIAL AND METHODS:Twenty three
center participated in the study. They include in a database
hosted online consecutive patients with acute pancreatitis
from june 2010 to june 2013.
RESULTS:854 patients entered
the study. The average age was 46.6 years and 495
(58%) belonged to the female sex. The most common cause
(88.2%) of AP was biliary. Some prognostic system was
used in 99 % of patients and the most used was Ranson
(74.5%). Were classified as mild 714 (83.6%) patients
and severe 140 (16.4%). Systemic complications occurred
in 43 patients and local complications in 21. 86 patients
underwent dynamic CT scans and 73 patients had pancreatic
and / or peripancreatic necrosis. Mortality was
1.5%. There was no difference in mortality in relation to
the size, complexity or affiliation of the center. The comply of key recommendations of the American College of Gastroenterology
Guide was over 80%.
CONCLUSIONS:The
diagnosis and treatment of patients with AP in 23 health
centers located throughout the country was optimal. The
management complied with most of the recommendations
of the American College of Gastroenterology Guide.
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