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급성 췌장염 이후 발생한 후복막강 농양에 속발된 위와 대장 누공의 1예

Other Titles
 A case of gastric and colonic fistulas with pancreatic and peripancreatic abscess after acute necrotizing pancreatitis 
 정혜원  ;  이용찬  ;  이준규  ;  백용한  ;  박인서  ;  문영명  ;  김명진 
 Korean Journal of Medicine (대한내과학회지), Vol.58(6) : 675-680, 2000 
Journal Title
Korean Journal of Medicine(대한내과학회지)
Issue Date
Pancreatitis ; Abscess ; Fistula ; Drainage
According to several reports, the incidence of pancreatic and peripancreatic abscess after acute pancreatitits is quoted at about 5 percentage and this rare complication may cause fistulas with multiple intra- abdominal organs. Mortality rates are nearly 100 per cent, mostly due to sepsis and hemorrhage in the abscence of surgical intervention and even with surgical drainage and celiotomy, death rate of 30 to 50 percentage are noted due to recurrence. The pathogenesisi of these fistulas may be multifactorial ; activated pancreatic enzyme and the products of secondary infection penetrating visceral wall directly, and vascular thrombosis and shock causing ischemic necrosis of the gastrointestinal wall. The gastrointestinal fistulas after acute necrotizing pancreatitis have been reported rarely in Korea. The authors experienced a sixty three year old male patient case of gastric and colonic fistulas in communication with retroperitoneal pancreatic abscess after acute pancreatitis. The patient
received broad- spectrum antibiotics and percutaneous catheter drainage without surgical intervention. After treatment, he recovered well complete. Conservative care with drainage procedure may be a suitable alternative for managing the gastrointestinal fistulas with the pancreatic and peripancreatic abscess after acute nectrotizing pancreatitis .(Korean J Med 58:675- 680, 2000)
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Lee, Yong Chan(이용찬) ORCID logo https://orcid.org/0000-0001-8800-6906
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