Short-and Long-Term Results After Necrotizing Pancreatitis

Pancreatic Function after Acute Biliary Pancreatitis: Does It Change?

“…Nevertheless, no general consensus was found in our literature review regarding this point. Büchler et al [14] and Angelini et al [7,8,15] deduced that AP causes a functional decline, establishing differences based on the severity and etiology of the process. Büchler et al concluded that exocrine pancreatic function was abnormal within the first year in most patients after necrohemorrhagic AP, including that of mainly alcoholic origin.…”

“…Publications regarding the endocrine function 1 month after an AP episode are scarce, as most studies refer to exocrine function, not mentioning endocrine function [4, 9 -13]. The studies reported noted that the changes in hydrocarbonate metabolism described in AP are characterized by the presence of hyperglycemia and changes in insulin and glucagon secretion [32,33] in up to 50% of the cases [7,8,14]. In our series, 1 month after the acute episode of pancreatitis, the results of the OGTT test changed in 50% of patients, with no significant relation between functional changes and severity.…”

Exocrine pancreatic changes following acute attack of biliary pancreatitis

“…Pancreatic function during and after ABP has been studied in recent years, with differing results, such that no general agreement has been reached about whether pancreatic function is diminished after ABP [4][5][6][7][8][9][10][11][12][13][14][15][16][17]. There are several reasons for this: the lack of a generally accepted system for classifying the severity of the episode, differences in the proportion of patients studied with respect to the etiology and differences in the tests used to measure pancreatic function and in the time when the tests are made.…”