Severe acute pancreatitis: results of treatment

To evaluate the results of the Protocol for treatment of patients with severe acute pancreatitis.We consecutively analyzed age, gender, etiology, length of hospital stay, type of treatment and mortality of 37 patients with severe acute pancreatitis from January 2002.The patients' ages ranged from 20 to 88 years (average 50 years), 27% were female and 73% male. Mean overall hospital stay was 47 days. Thirteen patients were treated surgically, the average operations per patient was two. There were six deaths among patients undergoing surgical treatment (46%) and two deaths in the group submitted to medical treatment alone (8.3%). The overall mortality was 21%.After modification in the form of management of patients with severe acute pancreatitis, there was a decrease in mortality and a trend for conservative management.