DOI: 10.36347/sjams.2017.v05i06.036

Pages: 2233-2236

Acute pancreatitis is a process of self-regulation of the pancreatic gland. It evolves in two phases: the initial phase or edema and the late phase or necrosis. The objective of our work was to study the frequency of acute pancreatitis and to evaluate the diagnostic, therapeutic and prognostic management in resuscitation. Patients with elevated lipase and amylasia to confirm the diagnosis were included in our study. Four cases of acute pancreatitis on 823 inpatients were collected at a frequency of 0.5%. The male sex was dominant with three cases being a sex ratio to 3. The average age was 35.5 years with extremes of 29 and 42 years. Two etiologies were found: an alcoholic origin with 3 cases of male and one case biliary origin. The epigastric pain was in front of the picture. The dosage of pancreatic enzymes (lipase and amylase) was performed as soon as patients were admitted to surgical emergencies. Ultrasound was done in search of biliary stones. The CT scan allowed us to confirm the diagnosis and to determine the prognosis of acute pancreatitis with two acute pancreatitis stage A and the two other acute pancreatitis were of stage C. All our patients had been treated symptomatically for 48 hours: d A total diet, vascular filling, multimodal analgesia, gastric protection and prevention of thromboembolic disease. No patient was on antibio prophylaxis. The duration of hospitalization was 3.75 days with extremes of 2 to 6 days. The development was favorable from the second day with decreased functional signs and resumption of feeding on the third day. No deaths were reported.