CT-Guided Percutaneous Catheter Drainage of Acute Infectious Necrotizing Pancreatitis: Assessment of Effectiveness and Safety

Abstract

Percutaneous catheter drainage is a safe and effective technique to treat acute infectious necrotizing pancreatitis.

Percutaneous Catheter Drainage in Infected Pancreatitis Necrosis: a Systematic Review

“…The etiology of infected pancreatitis necrosis was reported in 9 studies [8,16,17,25,27,28,[33][34][35], in which the most common cause was biliary tract disease. APACHE II scores and CT severity index scores were used in the 10 studies [8,16,17,28,29,31,[33][34][35][36]; 0.195 (55.3 %) of 352 patients had organ failure before PCD in 9 studies (including single and multiple organ failure) [8,17,29,30,[32][33][34][35][36].…”

“…Seven studies reported the mean length of hospital stay [16,[27][28][29][31][32][33], which ranged from 3 to 241 days. Eight studies reported the mean length of initial treatment with PCD after hospital admission [8,16,17,25,28,29,32,35]. The success rate of PCD, defined as the recovery of patients without additional surgical intervention, was 56.2 % (324 of 577 patients).…”

“…Additional intervention was percutaneous necrosectomy in 18 patients, elective surgery in 13 patients, VARD in 24 patients, surgical in 87 patients, retroperitoneal necrosectomy in 3 patients, and surgical necrosectomy in 98 patients. The average (mean or median) time interval between the first PCD and surgery was reported in 8 series [8,16,17,27,29,30,32,35] and ranged from 1 to 600 days.…”

“…Of the total 15 articles, 12 studies reported the size of catheters, which ranged from 6 to 32 French [16,17,[25][26][27][28][29][31][32][33][34][35]. Moreover, most of the radiological interventions were CT guided.…”

“…Moreover, most of the radiological interventions were CT guided. Five studies showed that the large bore (>20 F) was the final size of the catheter achieved after up-sizing the initial small bore catheters [16,17,29,31,32]. On the other side, two studies considered the catheters were selected on the basis of the characteristics of the fluid [25,33].…”