Efficacy of incision and drainage versus percutaneous catheter drainage in treatment of severe acute pancreatitis complicated by pancreatic abscess
10.3969/j.issn.1001-5256.2016.03.028
- VernacularTitle:切开引流术和经皮穿刺置管引流术治疗重症急性胰腺炎并发胰腺脓肿的疗效分析
- Author:
Feng YANG
1
;
Jin XU
;
Xujuan LUO
Author Information
1. Department of Gastroenterology, Affiliated Hospital of Luzhou Medical College, Luzhou, Sichuan 646000, China
- Publication Type:Research Article
- Keywords:
pancreatitis;
abscess;
diagnosis;
therapy
- From:
Journal of Clinical Hepatology
2016;32(3):530-532
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the clinical features and treatment of severe acute pancreatitis (SAP) complicated by pancreatic abscess (PA). MethodsThe clinical data of 17 SAP patients with PA who were admitted to Affiliated Hospital of Luzhou Medical College from January 1, 2005 to August 25, 2015 were analyzed retrospectively. The clinical manifestations, therapeutic methods, and outcome were summarized. ResultsOf all the 17 patients, 12 patients underwent surgical operation, among whom 9 were cured, 1 experienced postoperative intestinal fistula, and 2 experienced recurrence of abscess and underwent the surgery again (1 died of multiple organ failure), and the mean hospital stay was (108.29±52.37) d; 5 patients underwent percutaneous catheter drainage, among whom 4 were cured, and 1 underwent surgical treatment due to inadequate drainage, and the mean hospital stay was (53.03±6.71) d. ConclusionAdequate drainage should be performed once a confirmed diagnosis of PA is made, and appropriate drainage methods should be selected based on the patient′s actual condition. Minimally invasive treatment has a good effect, a short length of hospital stay, and few complications, and holds promise for clinical application.
