OBSERVATIONS DURING TREATMENT OF ACUTE NECROTIZING PANCREATITIS WITH SURGICAL ABLATION

  • 1 January 1979
    • journal article
    • research article
    • Vol. 148  (3) , 385-386
Abstract
Patients [7] with acute necrotizing pancreatitis were treated by surgical ablation. Immediate improvement was seen in 6 patients. Two patients died during the course of postoperative complications requiring reoperations. At operation, strikingly conforming lesions were found in the shape of a sharply limited necrotic portion of the gland. The body and tail of the pancreas constituted this necrotic portion in all patients. In some patients, the vascular anatomy infers a total infarction of the body and tail of the pancreas if a thrombosis of the transverse pancreatic artery occurs. In view of these observations, more interest should be directed toward the possibility of a vascular occlusion as a cause of pancreatic necrosis.

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