CASE REPORT: Inappropriate use of percutaneous drainage in the management of pancreatic necrosis

We describe three cases of severe necrotizing pancreatitis, with Apache II scores of 11, 17 and 22, respectively. There was no significant pancreatic parenchymal perfusion in any of the three patients on contrast‐enhanced computed tomography. All three patients were primarily treated with percutaneo...

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Bibliographic Details
Published in:	Journal of gastroenterology and hepatology Vol. 14; no. 7; pp. 699 - 704
Main Authors:	Kam, Anthony, Young, Noel, Markson, Gregory, Wong, Kai Ping, Brancatisano, Roy
Format:	Journal Article
Language:	English
Published:	Melbourne, Australia Blackwell Science Pty 01-07-1999
Subjects:	Aged Bacterial Infections - complications Contraindications Fatal Outcome Humans Laparotomy Male Middle Aged pancreatic necrosis pancreatitis Pancreatitis, Acute Necrotizing - complications Pancreatitis, Acute Necrotizing - therapy percutaneous drainage Suction - adverse effects Tomography, X-Ray Computed
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Summary:	We describe three cases of severe necrotizing pancreatitis, with Apache II scores of 11, 17 and 22, respectively. There was no significant pancreatic parenchymal perfusion in any of the three patients on contrast‐enhanced computed tomography. All three patients were primarily treated with percutaneous drains and all three subsequently required open laparotomies. We do not recommend percutaneous drainage as a definitive therapy for severe necrotizing pancreatitis.
Bibliography:	istex:3BFB2EC94E00EC618FDB8A803774838C85FF3C7F ArticleID:JGH1936 ark:/67375/WNG-PKQJWWNW-N ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	0815-9319 1440-1746
DOI:	10.1046/j.1440-1746.1999.01936.x