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Trans-abdominal and Trans-gastric percutaneous drainage of peripancreatic infected collections: a retrospective analysis
dc.creator | Rey Chaves, Carlos Eduardo | |
dc.creator | Conde Monroy, Danny | |
dc.creator | Girón, Felipe | |
dc.creator | Ayala, Daniela | |
dc.creator | Gonzalez, Juliana | |
dc.creator | Melo, Daniela | |
dc.creator | Quintero, Marco | |
dc.date.accessioned | 2022-08-12T18:37:51Z | |
dc.date.available | 2022-08-12T18:37:51Z | |
dc.date.created | 2022-06 | |
dc.identifier.issn | 2049-0801 | spa |
dc.identifier.uri | http://repositorio.mederi.com.co/handle/123456789/688 | |
dc.description | Background: 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 trans-gastric versus transabdominal percutaneous drainage in cases of acute peripancreatic fluid infected collections in the absence of interventionist endoscopy. Methods: 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: 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%. Trans-gastric approach was performed in 50% of the cases, the rest was trans-abdominal. No mortality was evidenced after 30 days of follow up. After trans-gastric percutaneous drainage, all patients avoided surgical open or laparoscopic procedure. Conclusion: 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 trans-abdominal and trans-gastric percutaneous drainage. Nevertheless, further prospective studies with higher sample size are needed. | spa |
dc.description.abstract | Background: 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 trans-gastric versus transabdominal percutaneous drainage in cases of acute peripancreatic fluid infected collections in the absence of interventionist endoscopy. Methods: 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: 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%. Trans-gastric approach was performed in 50% of the cases, the rest was trans-abdominal. No mortality was evidenced after 30 days of follow up. After trans-gastric percutaneous drainage, all patients avoided surgical open or laparoscopic procedure. Conclusion: 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 trans-abdominal and trans-gastric percutaneous drainage. Nevertheless, further prospective studies with higher sample size are needed. | spa |
dc.format.mimetype | application/pdf | spa |
dc.relation.uri | https://doi.org/10.1016/j.amsu.2022.104080 | spa |
dc.rights | Atribución-NoComercial-SinDerivadas 2.5 Colombia | * |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/2.5/co/ | * |
dc.title | Trans-abdominal and Trans-gastric percutaneous drainage of peripancreatic infected collections: a retrospective analysis | spa |
dc.subject.keyword | Acute pancreatitis | spa |
dc.subject.keyword | Drainage | spa |
dc.subject.keyword | Peripancreatic necrosis | spa |
dc.subject.keyword | Radiology interventional | spa |
dc.rights.accessRights | openAccess | spa |
dc.type.hasVersion | acceptedVersion | spa |
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