C. J. SMYTH, M.D.
Until recently, acute pancreatic necrosis has been considered a surgical emergency and universally regarded as an indication for immediate operation. At present the trend is toward more conservative treatment. Trasoff and Scarf1 have reviewed this problem and analyzed the records of 16 patients with acute pancreatitis. Three of the four subjected to early operation died, whereas of 12 not operated upon, 9 recovered. Hartlieb2 is opposed to surgical intervention, and has treated 9 patients expectantly, of whom 7 recovered. Mikkelsen3 reported 39 examples of acute pancreatitis, all of which were treated conservatively with a mortality of only 7.5 per cent.
SMYTH CJ. URINARY DIASTASE IN ACUTE PANCREATIC NECROSIS: AN EXPERIMENTAL INVESTIGATION(URINARY DIASTASE IN ACUTE PANCREATIC NECROSIS: AN EXPERIMENTAL INVESTIGATION*). Ann Intern Med. 1939;12:932–937. doi: 10.7326/0003-4819-12-7-932
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Published: Ann Intern Med. 1939;12(7):932-937.
Gastroenterology/Hepatology, Pancreatic Disease.
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