Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Jun 25:79:104080.
doi: 10.1016/j.amsu.2022.104080. eCollection 2022 Jul.

Trans-gastric and trans-abdominal percutaneous drainage of acute peripancreatic fluid infected collections: A retrospective analysis

Carlos Rey  1 , Danny Conde  2   1 , Felipe Girón  2   1 , Daniela Ayala  1 , Juliana Gonzalez  1 , Daniela Melo  1 , Marco Quintero  2
Affiliations

Trans-gastric and trans-abdominal percutaneous drainage of acute peripancreatic fluid infected collections: A retrospective analysis

Carlos Rey et al. Ann Med Surg (Lond). .

Abstract

Background: Acute pancreatitis is one of the most common gastrointestinal diseases. Approximately 20% of the patients develop peripancreatic collections. Step-up management it's now the best approach with less rate of morbidity and mortality compared with open or minimally invasive surgery. Percutaneous management could reach a success rate between 50 and 76%. Our study shows the outcomes of trans-gastric versus transabdominal percutaneous drainage in cases of acute peripancreatic fluid infected collections in the absence of interventionist endoscopy.

Methods: A retrospective review of a prospectively collected database was conducted. All the patients older than 18 years old that underwent percutaneous drainage between January 2010-December 2021 were included. Analysis and description of outcomes such as mortality, complications, and avoidance of surgical procedures was performed.

Results: 18 patients underwent percutaneous drainage. 66.67% of patients were male. Mean age was 52.55 ± 22.06 years. Mean weight was 74.43 ± 15.25 kg. Mean size of peripancreatic collections 118.4 ± 49.12 mm. Wall-off necrosis was present in 33.33%. Trans-gastric approach was performed in 50% of the cases, the rest was trans-abdominal. No mortality was evidenced after 30 days of follow up. After trans-gastric percutaneous drainage, all patients avoided surgical open or laparoscopic procedure.

Conclusion: Standardized step-up approach shows increased rates of success in percutaneous drainage of peripancreatic collections. Our case series shows a high rate of success in terms of avoidance any surgical procedure with no mortality after trans-abdominal and trans-gastric percutaneous drainage. Nevertheless, further prospective studies with higher sample size are needed.

Keywords: Acute pancreatitis; Drainage; Peripancreatic necrosis; Radiology interventional.

PubMed Disclaimer

Conflict of interest statement

Authors do not have any conflict of interest.

Figures

Fig. 1
Fig. 1
Flow - chart decision process IPN: Infected pancreatic necrosis.
Image 1
Image 1
A.Peripancreatic infected collection with gas and perpipancreatic edema.(Red arrow) B Peripancreatic infected collection with percutaneous drainage (Red arrow).
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Boxhoorn L., Voermans R.P., Bouwense S.A., Bruno M.J., Verdonk R.C., Boermeester M.A., van Santvoort H.C., Besselink M.G. Acute pancreatitis. Lancet. 2020;396(10252):726–734. doi: 10.1016/S0140-6736(20)31310-6. Sep. 5. PMID: 32891214. - DOI - PubMed
    1. Riveros R., Nieto J.A., Vargas F. Bogotá: Universidad del Rosario Editorial; 2008. Pancreatitis Aguda.https://repository.urosario.edu.co/bitstream/handle/10336/1019/Pancreati... Retrieved from.
    1. Forsmark C.E., Baillie J., Practice A.G.A.I.C., Economics C., Board A.G.A.I.G. AGA Institute technical review on acute pancreatitis. Gastroenterology. 2007;132(5):2022–2044. doi: 10.1053/j.gastro.2007.03.065. - DOI - PubMed
    1. Colvin S.D., Smith E.N., Morgan D.E., Porter K.K. Acute pancreatitis: an update on the revised Atlanta classification. Abdom Radiol (NY) 2020;45(5):1222–1231. doi: 10.1007/s00261-019-02214-w. May. PMID: 31494708. - DOI - PubMed
    1. Nieto J.A., Rodríguez S.J. Manejo de La pancreatitis Aguda: Guía de práctica clínica Basada En La Mejor información Disponible. Rev Colomb Cir. 2019;25:76–96. http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S2011-7582201... Retrieved: