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[Acute pancreatitis after gastric surgery].

After operation on the stomach in 1,602 patients (3.9% mortality) acute postoperative pancreatitis (APP) developed in 60 of them. Twenty patients died from APP. The impulsive pain symptom and diastasuria were characteristic of the clinical picture in 35 patients. According to the severity of the impulsive pain, the diastasis level in the urine, and the complex of therapeutic measures needed to arrest the developing APP, three degrees of ductal hypertension were distinguished. There were no deaths among patients with APP of the first degree. In 23 patients APP was marked by manifest intoxication from the first postoperative day and subsequent development of many complications which called for reoperations. In this group 18 patients died. In 2 cases APP was distinguished by a rapid course and fulgurant development. Attention was drawn from the very beginning to the extreme severity of the patients' condition. Symptoms of shock prevailed in the clinical picture. Both patients died. The authors suggest a scheme of APP prevention with the use of aldehydes, antioxidants, inhibitors of proteolytic enzymes, a complex of vitamins.