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Briskirtilsrof : uppgjör frá Borgarspítala 1969 til 1987

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Authors
Ársæll Kristjánsson
Jónas Magnússon
Issue Date
1988-07-21

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Citation
Læknablaðið 1988, 74(6):233-5
Abstract
A retrospective study on pancreatic ruptures at the surgical department of Reykjavik City Hospital was done. Six cases with ductal rupture were found. Abdominal examination was normal on admission in three cases. All patients were treated with distal pancreatectomy. One patient died due to severe coexistent abdominal injuries. The five survivors were discharged in good health and diabetes mellitus and exocrine pancreatic insufficiency has not been noted. We recommend distal pancreatectomy when the pancreatic duct is transcented by injury.
Afturskyggn leit var gerð í skjalasafni Borgarspítalans að sjúklingum með greininguna briskirtilsrof (rupt. pancreatis) árin 1969 til 1987. Sex sjúklingar fundust með þessa greiningu. Allir voru með rifið bris með briskirtilsganginn (duct, pancreatis) í sundur. Styrkur amýlasa í serum var hækkaður hjá þremur sjúklingum þegar hann var mældur við komu. Skoðun á kviðarholi var eðlileg hjá þremur sjúklingum við komu á spítalann. Aðgerð (laporatomie explorativa) var framkvæmd hjá sjúklingunum og var fjarhluti kirtils fjarlægður hjá öllum (pancreatectomia distalis). Fimm sjúklingar náðu sér að fullu. Einn sjúklingur dó eftir aðgerð vegna mikilla áverka á öðrum kviðarholslíffærum. Sykursýki eða vöntun á meltingarhvötum kom ekki fram eftir aðgerð.
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Icelandic Journal Articles (Peer Reviewed)

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