ArticleWorld journal of gastroenterology2009
Early recognition of abdominal compartment syndrome in patients with acute pancreatitis.
Article in World journal of gastroenterology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 52 citations in OpenAlex.
- Intra-abdominal Hypertension Is a Strong Predictor of Mortality and Poor Clinical Outcome in Severe Acute Pancreatitis.Digestive diseases and sciences · 2025Pooled it
- Early enteral nutrition prevents intra-abdominal hypertension and reduces the severity of severe acute pancreatitis compared with delayed enteral nutrition: a prospective pilot study.World journal of surgery · 2013Trial
- Trial
- Modified Chevrel technique for abdominal closure in critically ill patients with abdominal hypertension and limited options for closure.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Intra-Abdominal Hypertension: A Systemic Complication of Severe Acute Pancreatitis.Medicina (Kaunas, Lithuania) · 2022Review
- Computed tomography features predictive of intra-abdominal hypertension in acute necrotizing pancreatitis: A prospective study.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2021Article
- Computed Tomography Findings in Intraabdominal Hypertension in Patients with Acute Pancreatitis.The Indian journal of radiology & imaging · 2021Article
- Article
- Mannose-coated gadolinium liposomes for improved magnetic resonance imaging in acute pancreatitis.International journal of nanomedicine · 2017Article
- Intra-abdominal pressure: Time ripe to revise management guidelines of acute pancreatitis?World journal of gastrointestinal pathophysiology · 2016Article
- Interventional Treatment of Abdominal Compartment Syndrome during Severe Acute Pancreatitis: Current Status and Historical Perspective.Gastroenterology research and practice · 2016Review
- Embryonic natural orifice transluminal endoscopic surgery in the treatment of severe acute pancreatitis complicated by abdominal compartment syndrome.World journal of emergency medicine · 2015Article
- Intra-abdominal hypertension in the ICU - a prospective epidemiological study.Clujul medical (1957) · 2015Article
- Position paper: timely interventions in severe acute pancreatitis are crucial for survival.World journal of emergency surgery : WJES · 2014Article
- Intra-abdominal pressure in the early phase of severe acute pancreatitis: canary in a coal mine? Results from a rigorous validation protocol.Gut and liver · 2013Article
- Effect of obesity and decompressive laparotomy on mortality in acute pancreatitis requiring intensive care unit admission.World journal of surgery · 2013Article
- Effects of prophylactic antibiotics in acute pancreatitis.HPB : the official journal of the International Hepato Pancreato Biliary Association · 2012Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo assess the value of widely used clinical scores in the early identification of acute pancreatitis (AP) patients who are likely to suffer from intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS).
methodsPatients (n = 44) with AP recruited in this study were divided into two groups (ACS and non-ACS) according to intra-abdominal pressure (IAP) determined by indirect measurement using the transvesical route via Foley bladder catheter. On admission and at regular intervals, the severity of the AP and presence of organ dysfunction were assessed utilizing different multifactorial prognostic systems: Glasgow-Imrie score, Acute Physiology and Chronic Health Evaluation II (APACHE-II) score, and Multiorgan Dysfunction Score (MODS). The diagnostic performance of scores predicting ACS development, cut-off values and specificity and sensitivity were established using receiver operating characteristic (ROC) curve analysis.
resultsThe incidence of ACS in our study population was 19.35%. IAP at admission in the ACS group was 22.0 (18.5-25.0) mmHg and 9.25 (3.0-12.4) mmHg in the non-ACS group (P < 0.01). Univariate statistical analysis revealed that patients in the ACS group had significantly higher multifactorial clinical scores (APACHE II, Glasgow-Imrie and MODS) on admission and higher maximal scores during hospitalization (P < 0.01). ROC curve analysis revealed that APACHE II, Glasgow-Imrie, and MODS are valuable tools for early prediction of ACS with high sensitivity and specificity, and that cut-off values are similar to those used for stratification of patients with severe acute pancreatitis (SAP).
conclusionIAH and ACS are rare findings in patients with mild AP. Based on the results of our study we recommend measuring the IAP in cases when patients present with SAP (APACHE II > 7; MODS > 2 or Glasgow-Imrie score > 3).
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