Acute pancreatitis, severity scores, and management according to the new recommendations: A series of 356 cases in Morocco (notice n° 152412)
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| fixed length control field | 02483cam a2200205 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20250112030507.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Zerhouni, Ahmed |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | Acute pancreatitis, severity scores, and management according to the new recommendations: A series of 356 cases in Morocco |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2024.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 5 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Acute pancreatitis (AP) is an acute inflammatory process involving the pancreas, the incidence of which is increasing, and the management of which requires multidisciplinary intervention. We performed a prospective analysis of 356 cases of AP documented in the emergency and intensive care departments of the Hassan II teaching hospital in Fes over a 2-year period, from April 2017 to May 2019. The aim of this study was to analyze the epidemiological aspects of AP and to verify the reliability and feasibility of the new “systemic inflammatory response syndrome” (SIRS) score in assessing the severity of AP in our clinical setting. The diagnosis of AP was made on the basis of a clinical picture associated with lipase levels three times greater than normal in 91.5% of cases. Abdominal CT scans revealed a predominance of stage E AP (37.5%), according to the Balthazar criteria, followed by stage C (32.5%). Biliary etiology was predominant in 78.4% of cases. SIRS on admission was present in 48% of cases and was persistent beyond 48 hours in 18% of cases. All patients who developed a complication during AP were SIRS-positive at admission. The superinfection of the necrosis flows was present in 75.8% of patients SIRS persisting beyond 48 hours. Complications were mainly dominated by superinfection of necrosis flows, found in 15% of cases. According to the Atlanta classification, we found that medical treatment was initiated in all patients, while endoscopic and surgical treatment were much less common. In light of our study, it was concluded that the SIRS score is a simple, precise, and specific tool for predicting and evaluating the severity of acute pancreatitis, considering the drawbacks of other multifactorial scores. |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Belhaj, Anas |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Toughrai, Imane |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Mazaz, Khalid |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Ibn Majdoub, Karim |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Cahiers Santé Médecine Thérapeutique | 33 | 2 | 2024-03-01 | p. 92-97 | 2780-8858 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://shs.cairn.info/journal-cahiers-sante-medecine-therapeutique-2024-2-page-92?lang=en">https://shs.cairn.info/journal-cahiers-sante-medecine-therapeutique-2024-2-page-92?lang=en</a> |
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