0
ARTICLE |

ACUTE PANCREATITIS ASSOCIATED WITH NECROSIS AND PERFORATION OF THE COMMON BILE DUCT

JERRY ZASLOW, M.D.
AMA Arch Surg. 1953;67(1):47-51. doi:10.1001/archsurg.1953.01260040050007.
Text Size: A A A
Published online

NOT TOO many years ago it was generally felt that when a diagnosis of acute pancreatitis was suspected, the patient should undergo exploration; if pancreatitis was found, the pancreatic area and the biliary tract were drained. The mortality figures with this form of management were high. When a laboratory procedure for diagnosing acute pancreatitis was devised and found to be reliable, the management of patients with this disease was modified. In most clinics today it is felt that when the diagnosis of acute pancreatitis is made on the basis of elevated serum amylase and/or lipase levels, nonoperative treatment is indicated, except in certain circumstances.1

Bockus, Roth, and Sifre1a state that the only indications for operation are either "when other acute abdominal emergencies cannot be excluded or if the pancreatitis becomes complicated by suppuration, severe hemorrhage or spreading peritonitis." On the other hand, Rhoads, Howard, and Moss2 take

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();