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

Tiến Hoàng Vũ , Hữu Thông Trần , Anh Tuấn Nguyễn , Tuấn Dũng Đặng , Thành Nguyễn , Thị Lâm Lê, Tuấn Đạt Nguyễn

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Abstract

Objectives: To describe the clinical and paraclinical characteristics of patients with severe acute pancreatitis who underwent ultrasound-guided percutaneous drainage of intra-abdominal fluid collections. Methods: A cross-sectional study of 48 patients with severe acute pancreatitis was conducted. Parameters including patient demographics, clinical manifestations, and laboratory tests were collected and analyzed. Results: Most patients exhibited typical clinical and paraclinical features of severe acute pancreatitis. Parameters such as low blood pH, elevated Interleukin 6, Procalcitonin, APACHE II and SOFA scores were statistically significantly higher in the mortality/failure group. Conclusions: Our study provides further evidence on the clinical features and risk factors for complications in patients with acute pancreatitis. However, larger studies are required to determine the prognostic accuracy of laboratory tests. Interleukin 6, procalcitonin, lactate and APACHE II score should be routinely performed in patients with acute pancreatitis to assess risks of complications and prognosis.

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References

1. Lankisch PG, Apte M, Banks PA. Acute pancreatitis. Lancet. 2015;386(9988):85-96.
2. Bhatia M, Brady M, Shokuhi S, et al. Inflammatory mediators in acute pancreatitis. J Pathol. 2000;190(2):117-25.
3. van Santvoort HC, Bakker OJ, Bollen TL, et al. A conservative and minimally invasive approach to necrotizing pancreatitis improves outcome. Gastroenterology. 2011;141(4):1254-63.
4. Stimac D, Fisic E, Milic S, et al. Prognostic values of CT findings in acute pancreatitis. Radiol Oncol. 2017;51(1):19-23.
5. 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
6. Banks PA, Bollen TL, Dervenis C, et al. Classification of acute pancreatitis--2012: revision of the Atlanta classification and definitions by international consensus. Gut. 2013;62(1):102-111.
7. Huang et al. Clinical features and treatment of acute pancreatitis. J Clin Med. 2017;10(11):E765
8. Nguyễn Thị Mỹ Hạnh và cs. Đặc điểm lâm sàng và cận lâm sàng của bệnh nhân viêm tụy cấp tại Bệnh viện Đa khoa Trung ương Cần Thơ
9. Lankisch PG, Apte M, Banks PA. Acute pancreatitis. Lancet. 2015;386(9988):85-96.
10. Bhansali, S. K., Bhansali, S., Kochhar, R.,... Gupta, R. (2015). Correlates of Abdominal Compartment Syndrome in Acute Severe Alcoholic Pancreatitis