Abstract:Objective :To explore the early treatment of severe acute non-obstructive biliary pancreatitis (ANOBP).
Methods :One hundred and seventy five cases of severe acute non-obstructive biliary pancreatitis were admitted to our hospital in recent 9 years. Among them, 63 cases recevied operative treatment within 3 days after the disease occurred, and other 112 cases had nonoperative treatment. Restrospectively analyse of the therapeutic results of the 2 groups were made .
Results :In the group operated within 3 days, severe complications occurred in 21 cases(33.3%) and 16 cases died(25.4%). In the 112 cases who had non-operative treatment within the first two weeks of disease, severe complications occurred in 19 cases(16.9%) and 14 cases died(12.5%). The treatment results were significant difference between the two groups(P＜0.05).
Conclusions :It is proper to adopt non-obstructive treatment in the early phase (within 2 weeks) of severe acute non-obstructive biliary pancreatitis, and too early operation is not suritable.