Acute pancreatitis

The concept of "acute pancreatitis include a group of diseases of the pancreas different nature, in particular hemorrhagic and fat necrosis cancer, oedema and purulent pancreatitis. So how to diagnose morphological character of changes to operations and sometimes during the operation, it is extremely difficult, practically it is expedient to distinguish between heavy and light form of acute pancreatitis.
Severe form of the disease usually occurs in 1-2% of cases among patients, hospital admissions with pattern of acute abdomen. Lethal cases range from 0.1 to 1% of autopsies. Mild forms of the disease are much more often, but rarely diagnosed. Statistical data indicate that patients with acute pancreatitis are very often supplied in the medical institution with a wrong diagnosis (N. L. Static).
According to Giilzow, a severe form of acute pancreatitis, giving greater lethality, range from 10 to 15% of all cases of acute pancreatitis.
Muller (1960), analyzing 235 cases, pointed out the obvious prevalence among women patients. The most frequent diseases of women in the age of about 50 years. Was relatively high incidence in women between the ages of 20-30 years, which can be delivered in connection with pregnancy and often complicate it lesions of the biliary tract. Frequency of severe forms of pancreatitis increases with age. According to statistical data, in the USA and in France acute pancreatitis more sick men, that, apparently, is connected with alcohol abuse (Gulzow, 1964).
Palmer (1963) indicates that in 75% of cases occur acute edema, or interstitial, pancreatitis, where the mortality rate is less than 5%, and spontaneous remission occurs within 3 days. In 15% of cases there hemorrhagic fat necrosis cancer, in which the mortality rate reaches 75%; purulent pancreatitis is 10% of cases of acute pancreatitis with mortality of 25%.