ArticleSurgical endoscopy2013
Ultrasound-guided percutaneous drainage of infected pancreatic necrosis.
Article in Surgical endoscopy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Trial
- Acute Necrotizing Pancreatitis-Advances and Challenges in Management for Optimal Clinical Outcomes.Medicina (Kaunas, Lithuania) · 2025Review
- Percutaneous Biopsy and Drainage of the Pancreas.Seminars in interventional radiology · 2024Review
- The Experience of a Tertiary Referral Center with Endoscopic Management and Combining Percutaneous Intervention for the Treatment of Walled-Off Necrosis: A Stepwise Approach.Journal of clinical medicine · 2024Article
- Controversies in the management of acute pancreatitis: An update.World journal of clinical cases · 2023Review
- Percutaneous endoscopic necrosectomy (PEN) for treatment of necrotizing pancreatitis: a systematic review and meta-analysis.Endoscopy international open · 2023Article
- Article
- Drainage of pancreatic fluid collections in acute pancreatitis: A comprehensive overview.World journal of clinical cases · 2022Review
- Article
- Patient's characteristics, management practices and outcome of re-laparotomies in a tertiary hospital in Tanzania.Heliyon · 2020Article
- The effect of technical details of percutaneous catheter drainage on the clinical outcomes of infected necrotizing pancreatitis patientsTurkish journal of medical sciences · 2019Article
- Comparison of early and delayed EUS-guided drainage of pancreatic fluid collection.Endoscopy international open · 2018Article
- Double-catheter lavage combined with percutaneous flexible endoscopic debridement for infected pancreatic necrosis failed to percutaneous catheter drainage.BMC gastroenterology · 2017Article
- The outcomes of initial endoscopic transluminal drainage are superior to percutaneous drainage for patients with infected pancreatic necrosis: a prospective cohort study.Surgical endoscopy · 2017Article
- Predictive factors for successful ultrasound-guided percutaneous drainage in necrotizing pancreatitis.Surgical endoscopy · 2016Article
- Percutaneous Catheter Drainage in Infected Pancreatitis Necrosis: a Systematic Review.The Indian journal of surgery · 2016Article
- Timing of catheter drainage in infected necrotizing pancreatitis.Nature reviews. Gastroenterology & hepatology · 2016Review
- A percutaneous drainage protocol for severe and moderately severe acute pancreatitis.Surgical endoscopy · 2015Article
- Comments on the article about the treatment of infected pancreatic necrosis.Surgical endoscopy · 2013Article
- Ultrasound-guided percutaneous drainage of infected pancreatic necrosis.Surgical endoscopy · 2013Article
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7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe role of percutaneous drainage in the management of infected pancreatic necrosis remains controversial, and ultrasound-guided technique is rarely used for this indication. The purpose of this study was to evaluate the safety and efficacy of sonographically guided percutaneous catheter drainage for infected pancreatic necrosis.
methodsThe patient group consisted of 16 men and 2 women. The mean age of the patients was 47 years. The median computed tomography severity index of acute pancreatitis was 10 points. Percutaneous catheter drainage was performed under sonographic guidance using preferably retroperitoneal approach, and transperitoneal access in selected cases. The medical records and imaging scans were reviewed retrospectively for each patient.
resultsPercutaneous catheter drainage resulted in a complete resolution of infected pancreatic necrosis in 6 of 18 patients (33 %). Twelve of 18 patients who were initially managed with PCD required eventually necrosectomy (67 %). The most common reason for crossover to surgical intervention was persistent sepsis (n = 7). Open necrosectomy was performed in 4 of these patients, and 3 patients underwent successful minimally invasive retroperitoneal necrosectomy. Five patients required conversion to open surgery because of procedure-related complications. In 3 cases, there was leakage of the necrotic material into the peritoneal cavity. Two other patients experienced hemorrhagic complications. Overall mortality rate was 17 %. The size of the largest necrotic collection in patients who were successfully treated with percutaneous drainage decreased by a median of 76 % shortly after the procedure, whereas it decreased only by a median of 16 % in cases of failure of percutaneous drainage.
conclusionsUltrasound-guided percutaneous catheter drainage used in infected pancreatic necrosis is a technique with acceptably low morbidity and mortality that may be the definitive treatment or a bridge management to necrosectomy. A negligible decrease in size of the necrotic collection predicts failure of percutaneous drainage.
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