Surgery for Acute Pancreatitis

Navadgi, Suresh; Pandanaboyana, Sanjay; Windsor, John A.

doi:10.1007/s12262-015-1357-x

Cited by 18 publications

(24 citation statements)

References 46 publications

(39 reference statements)

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“…Patient undergoing conventional surgery were at an increased risk of developing infections as compared to the patients undergoing endoscopic intervention in our target population. Similar results have been reported in systematic reviews in the past as well by Navadagi et al, in 2015 and Bendersky et al, in 2016 17,18 . Surgical wound itself which is a part of the open surgical approach and absent in interventional management is a potential ground for infection.…”

Section: Discussionsupporting

confidence: 90%

Conventional Surgery v/S Interventional Management of Peripancreatic Collections Related to Acute Pancreatitis

Yasin¹,

Wattuu²,

Butt³

et al. 2021

PAFMJ

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Objective: To determine the difference in outcomes of conventional surgery v/s. interventional methods for peripancreatic collections after acute pancreatitis at Pak Emirates Military Hospital and Combined Military Hospital Rawalpindi. Study Design: Prospective comparative study. Place and Duration of Study: Pak Emirates Military Hospital and Combined Military Hospital Rawalpindi, fromApr 2018 to Mar 2019. Methodology: A prospective study was conducted on 100 patients who underwent either surgical or intervenetional management of peri-pancreatic collections after an episode of acute pancreatitis. Detailed assessments of positive outcomes and all side effects were done immediately post-procedure, at 48 hours, at the time of discharge and two weeks after procedure on all the participants. Results: Out of 100 patients included in the final analysis 78 were male and 22 were female. Mean age of patients in our study who underwent either surgery or intervention for peri-pancreatic collection was 42.41 ± 3.521 years. Mean duration of hospital stay after the surgery was 6.93 ± 4.662 days. Using binary logistic regression we found no statistically significant difference between both approaches in terms of positive outcomes or therapeutic use but presence of infection and readmission in hospital had a strong relationship with conventional surgery (p-value <0.05). Conclusion: No statistically significant difference in therapeutic use was observed, however, complication rate,especially infections and readmission was statistically significantly higher among the patients undergoingconventional surgery as compared to interventional management.

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Section: Discussionsupporting

confidence: 90%

Conventional Surgery v/S Interventional Management of Peripancreatic Collections Related to Acute Pancreatitis

Yasin¹,

Wattuu²,

Butt³

et al. 2021

PAFMJ

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“…The comprehensive treatment model of acute pancreatitis based on multidisciplinary team diagnosis and treatment can reduce the incidence of death due to reducing early systemic inflammatory response syndrome and multiple organ failure. The number of patients who died of shock and multiple organ failure is still high for IPN causing severe sepsis and secondary infection in the later stage of the disease [6,7]. Traditional surgical intervention mainly refers to removal of the pancreatic necrotic tissue by open abdominal cavity (operate debridement (OPD)).…”

Section: Discussionmentioning

confidence: 99%

Small Incision Combined with Nephroscope Operation in the Treatment of Infectious Pancreatic Necrosis: A Single-Center Experience of 37 Patients

Song

Zhu

et al. 2021

Gastroenterology Research and Practice

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Objective. To explore the safety and efficacy of small incision combined with nephroscope surgery in the treatment of infectious pancreatic necrosis. Methods. A retrospective analysis of the clinical data of 37 patients with infectious pancreatic necrosis who underwent small incision combined with nephroscopy in the Department of Hepatobiliary Surgery of Hunan Provincial People’s Hospital from January 2018 to December 2019. Results. All 37 patients successfully completed small incision combined nephroscope surgery. The median time from the onset to the operation of all patients was 38 days (range: 29-80 days), and the hospital stay was 19 days (range: 3-95 days). The median number of drainage tubes placed during the operation was 4 (range: 2-8). According to the different surgical approaches, 13 cases were through the retroperitoneal approach, 11 cases were through the omental sac approach, 2 cases were through the intercostal approach, and 11 cases were combined approach. The operation time was 85.3 ± 31.6 min, and intraoperative bleeding was 63.1 ± 40.0 ml. The incidence of complications (Clavien-Dindo grade 3 and above) was 5.4%. Among them, 2 patients were admitted to the intensive care unit due to postoperative bleeding, 1 case was cured by conservative treatment, and 1 case was cured by interventional treatment. During the follow-up period, 2 patients developed colonic fistula at 2 weeks after operation, and 2 patients developed gastric fistula at 1 week and 3 weeks after operation; all were cured by conservative treatment. Conclusion. Small incision combined with nephroscope surgery is an effective treatment for patients with infectious pancreatic necrosis by removing necrotic tissue, unobstructed drainage, and reducing complications.

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“…8 En el caso de la neoplasia, es probable la recurrencia del cuadro, la progresión y ulceración de las lesiones en la piel. 8 Finalmente, el manejo quirúrgico no está recomendado dentro del tratamiento de la pancreatitis aguda salvo en algunas excepciones, 14 dado a que está asociado a una mayor morbilidad y mortalidad. En nuestro caso, la presencia de la hipertensión intraabdominal (presión mayor a 12 mmHg), junto con los signos sugestivos del síndrome compartimental abdominal, que no mejoraron a pesar de las medidas de descompresión con sonda nasogástrica y los agentes proquinéticos, llevaron a considerar la realización de la laparotomía.…”

Section: Discussionunclassified

Paniculitis en pancreatitis aguda. Reporte de un caso y revisión de la literatura

Vargas¹,

Hernández²,

Escobar³

et al. 2021

Acta gastroenterol. latinoam.

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Pancreatic panniculitis is a cutaneous manifestation that can occur as a complication of acute pancreatitis. We present the case of a patient who had an acute pancreatitis initially classified as mild, but, during the course of the disease, was associated with the presence of an exacerbation of pain together with erythematous, painful and well-defined dorsal lesions. In the tomographic control, the presence of the panniculitis and peri-pancreatic necrosis with periportal gas was confirmed. The patient had a clinical decompensation associated with the suspicion of compartment syndrome. For this reason, it was decided to perform an exploratory laparotomy. The presentation of pancreatic paniculitis is an infrequent manifestation, thus we consider pertinent the description of this case and its review in the literature.

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Surgery for Acute Pancreatitis

Cited by 18 publications

References 46 publications

Conventional Surgery v/S Interventional Management of Peripancreatic Collections Related to Acute Pancreatitis

Conventional Surgery v/S Interventional Management of Peripancreatic Collections Related to Acute Pancreatitis

Small Incision Combined with Nephroscope Operation in the Treatment of Infectious Pancreatic Necrosis: A Single-Center Experience of 37 Patients

Paniculitis en pancreatitis aguda. Reporte de un caso y revisión de la literatura

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