doiSerbia

Mental disorders in patients with acute necrotic pancreatitis

Stefanović Dejan (Institut za bolesti digestivnog sistema, Klinički centar Srbije, Beograd)
Lekić Nebojša (Institut za bolesti digestivnog sistema, Klinički centar Srbije, Beograd)
Dimitrijević Ivan (Institut za psihijatriju, Klinički centar Srbije, Beograd)
Žuvela Marinko (Institut za bolesti digestivnog sistema, Klinički centar Srbije, Beograd)
Galun Danijel (Institut za bolesti digestivnog sistema, Klinički centar Srbije, Beograd)
Radovanović Nebojša (Institut za bolesti digestivnog sistema, Klinički centar Srbije, Beograd)
Kerkez Mirko (Institut za bolesti digestivnog sistema, Klinički centar Srbije, Beograd)
Kalezić Nevena (Institut za anesteziologiju i reanimatologiju, Klinički centar Srbije, Beograd)

Introduction The prognosis of patients with acute pancreatitis is still uncertain regardless of modern therapeutic procedures. It is even more emphasized if the acute pancreatitis is followed by psychic disorders. Objective The aim of the study was to provide an overview of the incidence of certain psychosomatic disorders in patients with acute pancreatitis and evaluate priority therapeutic procedures. Method In this study, we analyzed 16 patients with psychosomatic disorders followed by the episode of acute pancreatitis among 202 patients that were hospitalized in the period from 1993 until 2000. The diagnosis was based on anamnesis, clinical and laboratory findings and diagnostic procedures such as X-ray, US, CT and MRI. Results Among 16 patients with psychosomatic disorders followed by acute pancreatitis, 13 (81.25%) patients were operated on and 3 (18.75%) patients were medically treated. 6 patients experienced hallucinations, 5 memory deficiency, 16 disorientation and 14 confabulation. Conclusion Psychosomatic disorders in patients with acute pancreatitis require complex medical treatment. Due to the already mentioned complications, the management of these conditions is very difficult and with uncertain.

Keywords: acute pancreatitis, psychic disorders