Acute Pancreatitis Evolved to a New Treatment

Abstract

Introduction: Acute pancreatitis is an inflammatory disease of the pancreas that is characterized by a wide spectrum of clinical severity, from mild and self-limiting episodes to severe necrotizing disease with high morbidity and mortality. Objective: To describe the experience of the results obtained from patients with acute pancreatitis with a statistical, deductive, critical, logical and impartial analysis. Method: A retrospective, longitudinal, observational and descriptive study was conducted; presenting results by descriptive statistics, patients present with acute pancreatitis of probable biliary and/or pancreatic pathology. Results: 81 patients (19.75 %) men and 65 women (80.25 %), with a mean age of 39 years, with acute pancreatitis due to acute lithiasis cholecystitis (77.7 %). Once in remission, laparoscopic cholecystectomy was performed in 71 patients (91.02%). Morbidity was 19.75% and adjusted to 4.93%. With a residual choledocholithiasis of 7.4%. No mortality was reported. Discussion: The etiology of acute pancreatitis is a mystery to date, since there is no proven genesis that causes it, it is a potentially fatal inflammatory disease with well-known etiologies; however, in up to 30% of cases no identifiable cause is found, resulting in the diagnosis of acute pancreatitis. The Atlanta classification for acute pancreatitis is currently the most reliable that focuses on baseline behavior/behavior/prognosis, organ failure, and protective measures as central issues for developing or not developing acute respiratory distress syndrome and increasing mortality rates.   Conclusion: acute pancreatitis is a pathology that for centuries has caused fear, brutal health sequelae/limitations to survivors, which has plagued humanity due to such high rates of morbidity and mortality; that in view of this background, overdiagnosis and excessive treatment have been exercised with an increase in the costs of human resources,  material and economic, with precarious results. It is concluded that therapeutic management of mild acute pancreatitis, so basic and unorthodox, is beneficial for medical practice that does benefit the patient and the permanently worn-out impoverished health sector.