Acute pancreatitis
Drainage
Peripancreatic necrosis
Radiology interventional
Journal
Annals of medicine and surgery (2012)
ISSN: 2049-0801
Titre abrégé: Ann Med Surg (Lond)
Pays: England
ID NLM: 101616869
Informations de publication
Date de publication:
Jul 2022
Jul 2022
Historique:
received:
06
05
2022
revised:
22
06
2022
accepted:
23
06
2022
entrez:
21
7
2022
pubmed:
22
7
2022
medline:
22
7
2022
Statut:
epublish
Résumé
Acute pancreatitis is one of the most common gastrointestinal diseases. Approximately 20% of the patients develop peripancreatic collections. Step-up management it's now the best approach with less rate of morbidity and mortality compared with open or minimally invasive surgery. Percutaneous management could reach a success rate between 50 and 76%. Our study shows the outcomes of A retrospective review of a prospectively collected database was conducted. All the patients older than 18 years old that underwent percutaneous drainage between January 2010-December 2021 were included. Analysis and description of outcomes such as mortality, complications, and avoidance of surgical procedures was performed. 18 patients underwent percutaneous drainage. 66.67% of patients were male. Mean age was 52.55 ± 22.06 years. Mean weight was 74.43 ± 15.25 kg. Mean size of peripancreatic collections 118.4 ± 49.12 mm. Wall-off necrosis was present in 33.33%. Standardized step-up approach shows increased rates of success in percutaneous drainage of peripancreatic collections. Our case series shows a high rate of success in terms of avoidance any surgical procedure with no mortality after
Sections du résumé
Background
UNASSIGNED
Acute pancreatitis is one of the most common gastrointestinal diseases. Approximately 20% of the patients develop peripancreatic collections. Step-up management it's now the best approach with less rate of morbidity and mortality compared with open or minimally invasive surgery. Percutaneous management could reach a success rate between 50 and 76%. Our study shows the outcomes of
Methods
UNASSIGNED
A retrospective review of a prospectively collected database was conducted. All the patients older than 18 years old that underwent percutaneous drainage between January 2010-December 2021 were included. Analysis and description of outcomes such as mortality, complications, and avoidance of surgical procedures was performed.
Results
UNASSIGNED
18 patients underwent percutaneous drainage. 66.67% of patients were male. Mean age was 52.55 ± 22.06 years. Mean weight was 74.43 ± 15.25 kg. Mean size of peripancreatic collections 118.4 ± 49.12 mm. Wall-off necrosis was present in 33.33%.
Conclusion
UNASSIGNED
Standardized step-up approach shows increased rates of success in percutaneous drainage of peripancreatic collections. Our case series shows a high rate of success in terms of avoidance any surgical procedure with no mortality after
Identifiants
pubmed: 35860143
doi: 10.1016/j.amsu.2022.104080
pii: S2049-0801(22)00840-8
pmc: PMC9289435
doi:
Types de publication
Journal Article
Langues
eng
Pagination
104080Informations de copyright
© 2022 The Authors.
Déclaration de conflit d'intérêts
Authors do not have any conflict of interest.
Références
Gastroenterology. 2007 May;132(5):2022-44
pubmed: 17484894
Gastroenterology. 2011 Oct;141(4):1254-63
pubmed: 21741922
BMC Surg. 2006 Apr 11;6:6
pubmed: 16606471
Lancet. 2015 Jul 4;386(9988):85-96
pubmed: 25616312
Abdom Radiol (NY). 2020 May;45(5):1222-1231
pubmed: 31494708
Trauma Surg Acute Care Open. 2019 May 19;4(1):e000308
pubmed: 31245622
Ann Surg. 2016 Apr;263(4):787-92
pubmed: 25775071
Lancet. 2020 Sep 5;396(10252):726-734
pubmed: 32891214
Surg Endosc. 2013 Aug;27(8):2841-8
pubmed: 23404151
J Clin Med. 2019 Oct 03;8(10):
pubmed: 31623392
World J Gastrointest Endosc. 2012 Nov 16;4(11):479-88
pubmed: 23189219
JAMA. 2012 Mar 14;307(10):1053-61
pubmed: 22416101
AJR Am J Roentgenol. 1998 Apr;170(4):969-75
pubmed: 9530046
Semin Intervent Radiol. 2012 Dec;29(4):314-8
pubmed: 24293805
Gastrointest Endosc. 2008 Oct;68(4):649-55
pubmed: 18547566
Cardiovasc Intervent Radiol. 1996 Mar-Apr;19(2):128-31
pubmed: 8662174
PLoS One. 2019 Aug 22;14(8):e0221468
pubmed: 31437218
Radiology. 1989 Mar;170(3 Pt 1):757-61
pubmed: 2644662
Int J Surg. 2020 Dec;84:231-235
pubmed: 33189880