The effect of technical details of percutaneous catheter drainage on the clinical outcomes of infected necrotizing pancreatitis patients

Zhi-hua ZHANG; Yi-xuan DING; Yu-duo WU; Chong-chong GAO; Fei LI

Makale detayları

The effect of technical details of percutaneous catheter drainage on the clinical outcomes of infected necrotizing pancreatitis patients

Yazarlar:

Zhi-hua ZHANG | Yi-xuan DING | Yu-duo WU | Chong-chong GAO | Fei LI

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2019 Vol.49 Issue 4, pp.1079-1084

Belge Tipi:

Makale

Yayın Tarihi:

7/2019

Belge Dili:

İngilizce

Document ID (Org No.):

2000749985

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144

Özet:

 

Background/aim: This study aimed to investigate the effect of technical details of percutaneous catheter drainage (PCD) on the clinical outcomes of patients with infected necrotizing pancreatitis (INP).Materials  and  methods:  A  total  of  44  INP  patients  treated  in  our  hospital  from  October  2013  to  October  2015  were  included.  The  correlations of the first PCD treatment data and the clinical outcomes were analyzed.Results:  The  number  of  catheters  was  positively  correlated  with  hospital  readmission  (r  =  0.335,  P  =  0.032).  Receiver  operating  characteristic curve analysis showed that patients with ? 3 catheters were more likely to have hospital readmission. Patients with pleural effusion  undergoing  thoracentesis  were  more  likely  to  have  new  intensive  care  unit  admission  (P  =  0.025)  and  bleeding  in  need  of  intervention (P = 0.032). Patients with more effusion regions had higher incidences of mortality (P = 0.012) and new intensive care unit admissions (2.44 ± 1.03 vs. 1.88 ± 0.80; P = 0.059). Patients with PCD only were less likely to have new intensive care unit admissions (22.22% vs. 54.55%; P = 0.038) than those with PCD + small incision or/and videoscopic assisted retroperitoneal debridement. Conclusion:  Number  of  catheters  greater  than  three  was  associated  with  unfavorable  outcomes  of  PCD  treatment  in  INP  patients.  Patients that received PCD treatment only had better outcomes.

Makale detayları

The effect of technical details of percutaneous catheter drainage on the clinical outcomes of infected necrotizing pancreatitis patients

Yazarlar: Zhi-hua ZHANG | Yi-xuan DING | Yu-duo WU | Chong-chong GAO | Fei LI

Yayıncı: TUBITAK

Dergi: Turkish Journal of Medical Sciences 2019 Vol.49 Issue 4, pp.1079-1084

Belge Tipi: Makale

Yayın Tarihi: 7/2019

Belge Dili: İngilizce

Document ID (Org No.): 2000749985

Sıklık: İki Aylık

eISSN: 1303-6165

pISSN: 1300-0144

Sayı

Yazarlar:

Zhi-hua ZHANG | Yi-xuan DING | Yu-duo WU | Chong-chong GAO | Fei LI

Yayıncı:

TUBITAK

Dergi:

Turkish Journal of Medical Sciences 2019 Vol.49 Issue 4, pp.1079-1084

Belge Tipi:

Makale

Yayın Tarihi:

7/2019

Belge Dili:

İngilizce

Document ID (Org No.):

2000749985

Sıklık:

İki Aylık

eISSN:

1303-6165

pISSN:

1300-0144