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Biomedical subjects

D Simonowitz

Publications and source records attributed to D Simonowitz.

26 records · Page 2Linked to original sources

Diagnostic considerations in acute alcoholic and gallstone pancreatitis.

Comparison of a group of patients with acute alcoholic pancreatitis with a group with gallstone pancreatitis has established the serum amylase level on admission as one of the most useful laboratory tests in aiding to differentiate the two entities. A serum amylase level greater than 1,500 IU was most often due to gallstone pancreatitis, as was elevation of the serum bilirubin and alkaline phosphatase levels.

Acute Disease↗

Upper gastrointestinal bleeding associated with biliary diversion.

Significant upper gastrointestinal bleeding following operation was noted in 14 of 218 patients undergoing external biliary drainage. None of these patients sustained hepatic injury or needed hepatic resection. Three patients died from causes related to the upper gastrointestinal hemorrhage, and in 12 of the 14 patients the episode of hemorrhage occurred within three days of the biliary tract operation. The majority of the patients were febrile or septic at the time of the biliary operation. Biliary tract infection, when combined with external biliary drainage, may predipose to major upper gastrointestinal hemorrhage.

Adult↗

The timing of biliary tract operations in patients with pancreatitis associated with gallstones.

In a review of the surgical management of 64 patients with gallstone pancreatitis, recurrence of pancreatitis requiring readmission was noted in 48 per cent of those who had correction of biliary tract disease delayed to a separate admission. When patients were operated upon during the recovery phase of the first admission for pancreatitis, the hospital stay was reduced, there were no deaths and the morbidity was not increased. None of these patients had a documented recurrence of pancreatitis.

Cholecystectomy↗