Pancreatitis and Groin - Forum

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Hans

Re: Pancreatitis and Groin - Ärzteforum

Post#11 »

I am not agree with you.

My patient has uninfected retroperitoneal tissue and it is not indication to Op now.


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Old surgeon

Re: Pancreatitis and Groin - Ärzteforum

Post#12 »

In case you are interested, there is a nice summary of management of NP from Mayo Clinic in Am J of Surg:175:91-8. I would not trade that with all the discussants' clinical experiences

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Alalo

Re: Pancreatitis and Groin - Ärzteforum

Post#13 »

I read the article you mention a few weeks ago; it represent a "re-writing"
or "re-update" of Mayo's experience; nothing new or exciting. It goes along
with the principles discussed by me and others on this Forum.

Your comment about "clinical experience" appears to me inappropriate. There
is nothing wrong with "clinical experience"-particularly if supported by
good data collection and knowledge of relevant literature which in turn is
supported by clinical experience...

Jorjo

Re: Pancreatitis and Groin - Ärzteforum

Post#14 »

When you are able to diagnose an acute pancreatitis without op you must
treat it medically, unless it gets complicated, moreover it may useful to do
an ERCP or a percutaneus drain, under US or TAC view if a collection is
present. It is very different when you operate a pt and you discover an AP,
almost all of them get infected. I have not seen an unexpected operated AP
which need not a second or more explorations. If your case needs not any
other exploration I really think it may be not an AP, but an abscess of some
other source, renal, bone ?

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Old surgeon

Re: Pancreatitis and Groin - Ärzteforum

Post#15 »

Alalo wrote:I read the article you mention a few weeks ago; it represent a "re-writing"
or "re-update" of Mayo's experience; nothing new or exciting. It goes along
with the principles discussed by me and others on this Forum.

Your comment about "clinical experience" appears to me inappropriate. There
is nothing wrong with "clinical experience"-particularly if supported by
good data collection and knowledge of relevant literature which in turn is
supported by clinical experience...


My comment was never meant to be a joke, especially not on a public forum. My message only implied that "my" lacking of clinical experience can only allow me to learn what is written on the paper.
Instead,I also learn from those discussants, particularly outside the USA,who may not have read the paper but share their clinical experience that was fitting with their background training, their knowledge, their facility, and their patients. I always believe that practicing good medicine may require more than just knowledge but also a common sense. Things that I learn now in America may not be applicable in Thailand, Pakinstan, or somewhere else.

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