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Gastroenterology Research and Practice
Volume 2012 (2012), Article ID 271925, 5 pages
http://dx.doi.org/10.1155/2012/271925
Clinical Study

Clinical Study on Acute Pancreatitis in Pregnancy in 26 Cases

1Department of Gynaecology and Obstetrics, Hangzhou First People’s Hospital, Zhejiang, Hangzhou 310006, China
29th Ward, Breast Surgery, Zhejiang Cancer Hospital, Zhejiang, Hangzhou 310022, China
3Department of General Surgery, Hangzhou First People’s Hospital, Zhejiang, Hangzhou 310006, China
4College of Life Sciences, Zhejiang Sci-Tech University, Xiasha No. 2 Road, Zhejiang, Hangzhou 310018, China

Received 22 September 2012; Revised 22 October 2012; Accepted 22 October 2012

Academic Editor: Charles Melbern Wilcox

Copyright © 2012 Cheng Qihui et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Aim. This paper investigated the pathogenesis and treatment strategies of acute pancreatitis (AP) in pregnancy. Methods. We analyzed retrospectively the characteristics, auxiliary diagnosis, treatment strategies, and clinical outcomes of 26 cases of patients with AP in pregnancy. Results. All patients were cured finally. (1) Nine cases of 22 mild acute pancreatitis (MAP) patients selected automatic termination of pregnancy because of the unsatisfied therapeutic efficacy or those patients’ requirements. (2) Four cases of all patients were complicated with severe acute pancreatitis (SAP); 2 cases underwent uterine incision delivery while one of them also received cholecystectomy, debridement and drainage of pancreatic necrosis, and percutaneous jejunostomy. One case had a fetal death when complicated with SAP; she had to receive extraction of bile duct stones and drainage of abdominal cavity after induced abortion. The other one case with hyperlipidemic pancreatitis was given induced abortion and hemofiltration. Conclusions. The first choice of MAP in pregnancy is the conventional therapy. Apart from the conventional therapy, we need to terminate pregnancy as early as possible for patients with SAP. Removing biliary calculi and drainage is supposed to be considered for acute biliary pancreatitis. Lowering blood lipids treatment should be applied to hyperlipidemic pancreatitis or given to hemofiltration when necessary.