General characteristics of clinical observations of acute pancreatitis of biliary etiolog

The dynamics of hospital morbidity and lethality rate in acute biliary pancreatitis are analyzed; demographic regularities of acute biliary pancreatitis morbidity are determined; general characteristics of clinical observations are presented.

The increase in the absolute number of patients with acute pancreatitis of biliary etiology and necrotic pancreatitis of biliary etiology in many respects determines the growth of acute pancreatitis morbidity in general.

The morbidity of acute pancreatitis of biliary etiology is almost evenly distributed between men and women with the ratio 1,4:1. The peak of morbidity (36,1 %) falls on elderly age. In the age structure of acute biliary pancreatitis the share of elderly and senile age was 62,6 %. Every third patient sought medical help during the first 12 hours, 64,4 % – during the first 24 hours, 78,1 % – during the first 48 hours of the disease onset. The category of patients with the highest proportion (14,2 %) were elderly men, who came for treatment in the first 24 hours after the onset of the disease.

In 82,7 % of patients with acute biliary pancreatitis the premorbid status was aggravated by two or more concomitant diseases, every 5th patient had CHD manifested by angina pectoris, postinfarction cardiosclerosis or rhythm disturbances. Premorbid status has a significant influence on the overall mortality in acute pancreatitis of biliary etiology.

The relapses of acute pancreatitis of biliary etiology make up 9,6 % of all the attacks of the disease and 25,3 % of all relapses of acute pancreatitis, and in 47,6 % of cases of recurrent acute pancreatitis of biliary etiology the disease has an equally or more severe course with possible lethal outcome.

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