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OUTCOMES OF ULTRASOUND - GUIDED PERCUTANEUS CATHETER DRAINAGE TREATMENT ACUTE PANCREATITIS
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Abstract
Background: Ultrasound – guided percutaneous catheter drainage to treat acute pancreatitis with infected fluid collections was agreed upon by the authors at WSES 2019, however the results of the technique are still mentioned by few authors.
Aim: To evaluate the safety and efficacy of ultrasound - guided percutaneous catheter drainage treating infected acute pancreatitis with fluid collection.
Objects and methods: Study of 181 acute pancreatitis with infected fluid collection treated by ultrasound – guided percutaneous catheter drainage at Military Hospital 103 from January 2021 to May 2023. The examination, diagnosis, and treatment according to the guidelines of the World Society of Emergency Surgery (WSES) 2019.
Results: The average time to PCD were 2.7 ± 1.66 days, the average of fluid drained in 24 hours were 516.5 ml, rate of necrosis fluid was 67.9%. The rate of drainage in hypogastric was 85.6%; right flank was 39.7%; left flank was 33.1%; epigastric was 9.9%; right rib cage was 8.2%, left rib cage was 6.1%. The average hospital stay were 12.2 days, the surgery rate was 6.6%, there were no complications due to technical implementation. There was 67.4% of patients completely recovered when discharged from the hospital, the mortality rate was 4.4%
Conclusions: Ultrasound-guided percutaneous catheter drainage treatment of acute pancreatitis with infected fluid collection was a safe and effective technique, that may be the definitive treatment or a bridge management to necrosectomy.
Keywords: Acute pancreatitis, Ultrasound-guided percutaneous catheter drainage
Article Details
Keywords
Acute pancreatitis, Ultrasound-guided percutaneous catheter drainage, Ultrasound-guided percutaneous catheter drainage
References
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