eISSN: 2450-5722
ISSN: 2450-5927
Journal of Health Inequalities
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1/2015
vol. 1
 
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abstract:
Case report

The role of clinical guidelines for the management of severe acute pancreatitis

Magdalena Gibas-Dorna
,
Jacek Piątek
,
Kinga Mikrut
,
Małgorzata Wojciechowska
,
Hanna Krauss

J Health Inequal 2015; 1: 31–33
DOI: https://doi.org/10.5114/jhi.2015.56824
Online publish date: 2015/12/31
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Objective: To present the case of severe acute pancreatitis and identify some of the deviations from practice guidelines, that could negatively affect treatment-related outcomes.
Clinical presentation: A 66-year-old male presented at the city hospital with jaundice, fever and abdominal pain. Acute pancreatitis was diagnosed, but not properly classified, and open cholecystectomy with choledochotomy was performed. The patient developed multiple systemic and local complications and his condition worsened. The clinical condition was stabilized after long-term hospitalization (over 40 days) in Emergency Department and Clinic of Gastroenterology, but the recovery was not complete.
Conclusions: Patients with acute pancreatitis caused by gallstones require careful preoperative assessment according to the current established recommendations.
keywords:

severe acute pancreatitis, clinical guidelines, surgical treatment
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