OUTCOMES OF ULTRASOUND-GUIDED PERCUTANEOUS DRAINAGE OF ABDOMINAL FLUID COLLECTIONS IN PATIENTS WITH SEVERE ACUTE PANCREATITIS AT BACH MAI HOSPITAL

Hữu Thông Trần, Tiến Hoàng Vũ, Anh Tuấn Nguyễn, Tuấn Dũng Đặng, Hữu Quân Nguyễn, Quốc Đại Khương, Tuấn Đạt Nguyễn

Main Article Content

Abstract

Objective: Outcomes of ultrasound-guided percutaneous drainage of abdominal fluid collections in patients with severe acute pancreatitis at Bach Mai Hospital. Methods: A cross-sectional study on 48 patients with severe acute pancreatitis. Data on organ functions, SOFA scores, intra-abdominal pressure, inflammatory and infectious markers were collected and analyzed. Results: The results showed that ultrasound-guided drainage significantly reduced intra-abdominal pressure, improved clinical symptoms, laboratory tests, imaging findings as well as prognosis of the patients. Conclusions: Our study demonstrated that ultrasound-guided drainage is a simple, safe and effective method in halting disease progression and improving prognosis in patients with severe acute pancreatitis. It should be a key therapeutic procedure, especially in patients with signs of deterioration or complications. In combination with comprehensive treatment, it will help control the disease, minimize complications and mortality.

Article Details

References

1. Pezzilli R. Acute pancreatitis: biomarkers for diagnosis and management. J Clin Med. 2021 Jan 21;10(3):393.
2. Stimac D, Fisic E, Milic S, et al. Prognostic values of CT findings in acute pancreatitis. Radiol Oncol. 2017;51(1):19-23.
3. Working Group IAP/APA Acute Pancreatitis Guidelines. IAP/APA evidence-based guidelines for the management of acute pancreatitis. Pancreatology. 2013;13(4 Suppl 2):e1-15.
4. van Santvoort HC, Besselink MG, Bakker OJ, et al. A step-up approach or open necrosectomy for necrotizing pancreatitis. N Engl J Med. 2010;362(16):1491-502.
5. Horvath L, et al. Percutaneous drainage for pancreatic fluid collections: are we sticking to the guidelines? Pancreatology. 2010;10(4):471-6.
6. Shi H, et al. Effect of percutaneous catheter drainage on respiratory function in patients with infected pancreatic necrosis. Eur J Clin Invest. 2015;45(9):974-9.
7. Mouli VP, et al. Efficacy of ultrasound-guided percutaneous catheter drainage in treatment of infected pancreatic necrosis. J Clin Gastroenterol. 2013;47(5):418-22.
8. Bhasin DK, Rana SS. Endoscopic retrieval of pancreatic duct stone during emergency ERCP for acute pancreatitis. JOP. 2013;14(1):99-103.
9. van Baal MC, et al. Systematic review of percutaneous catheter drainage as primary treatment for necrotizing pancreatitis. Br J Surg. 2011;98(1):18-27.
10. Talukdar R, et al. Early percutaneous catheter drainage of infected pancreatic necrosis. JOP. 2009;10(6):585-9.