ISSN: 1859 - 2872
Evaluating the results of treatment infected walled-off pancreatic necrosis by minimally invasive interventions at 108 Military Central Hospital
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Abstract
Objective: To evaluate the results of treatment infected walled-off pancreatic necrosis by minimally invasive interventions at 108 Military Central Hospital. Subject and method: Subjects were patients with infected walled-off pancreatic necrosis complications at 108 Military Central Hospital. Retrospective, cross-sectional descriptive study to assess outcomes, complications of minimally invasive intervention. Result: Within 4 years from 2020 to 2024, there were 19 patients with infected walled-off pancreatic necrosis, in which the rate of men was 89.5%, women were 10.5%. Minimally invasive interventions included: Percutaneous catheter drainage (PCD) 9/19 (47.4%), percutaneous endoscopic necrosectomy (PEN) 4/19 (21.1%), endoscopic transmural drainage (ETD) 3/19 (15.8%), endoscopic transmural necrosectomy (ETN) 3/19 (15.8%): The technically successful rate was 19/19 (100%), the clinically successful rate was 17/19 (89.5%). The most common complications were bleeding in 4/19 (21.1%), drainage displacement in 3/19 (15.8%), peritonitis in 1 case accounting for 5.3%, no cases of death. Conclusion: Minimally invasive interventions treated infected walled-off pancreatic necrosis had high efficiency and low complications rate. Depending on the location and characteristics of Walled-off pancreatic necrosis to choose intervention method for each patient.
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References
2. Petrov MS, Shanbhag S, Chakraborty M, Phillips AR, Windsor JA (2010) Organ failure and infection of pancreatic necrosis as determinants of mortality in patients with acute pancreatitis. Gastroenterology 139(3): 813-820.
3. Rodriguez JR, Razo AO, Targarona J, Thayer SP, Rattner DW, Warshaw AL, Fernández-del Castillo C (2008) Debridement and closed packing for sterile or infected necrotizing pancreatitis: Insights into indications and outcomes in 167 patients. Ann Surg 247(2): 294-299.
4. Van Santvoort HC, Bollen TL, van Ramshorst B et al (2010) A step-up approach or open necrosectomy for necrotizing pancreatitis. New England J Med 362(16): 1491-1502.
5. van Brunschot S, van Grinsven J, van Santvoort HC et al (2018) Endoscopic or surgical step-up approach for infected necrotising pancreatitis: a multicentre randomised trial. Lancet 391(10115): 51-58. doi: 10.1016/S0140-6736(17)32404-2.
6. Trikudanathan G, Wolbrink DRJ, van Santvoort HC (2019) Current Concepts in Severe Acute and Necrotizing Pancreatitis: An Evidence-Based Approach. Gastroenterology 156: 1994-2007.
7. Bộ Y tế (2016) Siêu âm can thiệp – đặt ống thông dẫn lưu nang giả tụy. Hướng dẫn quy trình kỹ thuật nội khoa chuyên ngành tiêu hóa. Nhà xuất bản y học, Hà Nội, tr. 271-274.
8. Liu P, Song J, Ke HJ, Lv NH, Zhu Y, Zeng H, Zhu Y, Xia L, He WH, Li J, Huang X, Lei YP (2017) Double-catheter lavage combined with percutaneous flexible endoscopic debridement for infected pancreatic necrosis failed to percutaneous catheter drainage. BMC Gastroenterology 17(1): 155.
9. Jain S, Mahapatra SJ, Gupta S, Shalimar, Garg PK (2018) Infected Pancreatic Necrosis due to Multidrug-Resistant Organisms and Persistent Organ failure Predict Mortality in Acute Pancreatitis. Clinical and Translational Gastroenterology 9(10): 190.
10. Ke L, Li G, Wang P, Mao W, Lin J (2021) The efficacy and efficiency of stent-assisted percutaneous endoscopic necrosectomy for infected pancreatic necrosis: a pilot clinical study using historical controls. Eur J Gastroenterol Hepatol 33: e435–e441.
11. Ke L, Li J, Hu P, Wang L, Chen H, Zhu Y (2016) Percutaneous Catheter Drainage in Infected Pancreatitis Necrosis: a Systematic Review. Indian J Surg 78(3): 221–228. DOI 10.1007/s12262-016-1495-9.
12. Zeng Y, Yang J, Zhang JW (2023) Endoscopic transluminal drainage and necrosectomy for infected necrotizing pancreatitis: Progress and challenges. World J Clin Cases 11(9): 1888-1902.
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