A percutaneous drainage protocol for severe and moderately severe acute pancreatitis

Sugimoto, Motokazu; Sonntag, David P.; Flint, Greggory S.; Boyce, Cody J.; Kirkham, John C.; Harris, Tyler J.; Carr, Sean; Nelson, Brent D.; Barton, John M.; Traverso, L. William

doi:10.1007/s00464-015-4077-1

Cited by 22 publications

(10 citation statements)

References 35 publications

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“…However, this PCD protocol is not efficient for collections that contain a large amount of necrotic tissue. Certain studies have reported that a proactive PCD protocol has increased efficacy in treating pancreatic collections (5)(6)(7)(8). In all the published studies, a single percutaneous catheter is placed in a collection.…”

Section: Discussionmentioning

confidence: 99%

“…Certain studies have reported a success rate of PCD alone of as high as 50-60% (2)(3)(4). In addition, a proactive or aggressive protocol of PCD is associated with better outcomes (5)(6)(7)(8). The presence of solid, necrotic contents within the collection, as suggested by a higher mean CT density of collection, is associated with a lower success of PCD (9)(10)(11).…”

Section: Introductionmentioning

confidence: 99%

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Kissing catheter technique for percutaneous catheter drainage of necrotic pancreatic collections in acute pancreatitis

et al. 2020

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Kissing catheter technique for percutaneous catheter drainage of necrotic pancreatic collections in acute pancreatitis

et al. 2020

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“…Weitz G (28) 2014 391 Severity Classification Germany Karabulut U (29) 2014 98 Severity Classification Brazil Murilo GB (30) 2016 58 Severity Classification Brazil Sun Y (31) 2015 43 Severity Classification China Zhu Y (32) 2017 3260 Severity Classification China Zeng Y (33) 2014 90 Severity Classification China Li G (34) 2016 35 Diagnosis China Deng LH (16) 2017 70 Severity Classification China Lin S (35) 2017 671 Severity Classification China Qi X (36) 2017 204 Severity Classification China Jia R (37) 2015 85 Severity Classification China Xiao S (38) 2015 153 Diagnosis China Joon HC (39) 2015 153 Severity Classification South Korea Huh JH (40) 2018 191 Severity Classification South Korea Kim BG (41) 2013 50 Severity Classification / Diagnosis South Korea Cho JH (42) 2018 60 Severity Classification South Korea Mikolasevic (43) 2016 198 Severity Classification Croatia Mikolasevic (44) 2016 609 Severity Classification / Diagnosis Croatia Trgo G (45) 2016 40 Severity Classification Croatia Vujasinovic (46) 2014 100 Severity Classification Slovenia María CP (47) 2016 56 Severity Classification Spain Bozhychko (48) 2017 233 Severity Classification Spain Ellery KM (49) 2017 122 Severity Classification / Diagnosis USA Sugimoto M (50) 2015 663 Severity Classification USA Gougol A (51) 2017 500 Severity Classification USA Vipperla K (52) 2017 121 Severity Classification USA Vlada AC (53) 2013 67 Severity Classification USA Buxbaum J (54) 2014 25 Severity Classification USA Buxbaum J (55) 2016 60 Severity Classification USA Dimagno M (56) 2014 223 Diagnosis USA Bishu S (57) 2018 357 Severity Classification USA Bem MD (58) 2016 175 Severity Classification USA Nieminen A …”

Section: Author Publication Year Number Of Participants Adopted Atlanta Revision Criteria Nationalitymentioning

confidence: 99%

The Acceptance of Changes in the Management of Patients With Acute Pancreatitis After the Revised Atlanta Classification

Alves

Ferrazza

Nunes

et al. 2021

Arq. Gastroenterol.

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BACKGROUND: New recommendations for the management of patients with acute pancreatitis were set after the Atlanta Classification was revised in 2012. OBJECTIVE: The aim of the present systematic review is to assess whether these recommendations have already been accepted and implemented in daily medical practices. METHODS: A systematic literature review was carried out in studies conducted with humans and published in English and Portuguese language from 10/25/2012 to 11/30/2018. The search was conducted in databases such as PubMed/Medline, Cochrane and SciELO, based on the following descriptors/Boolean operator: “Acute pancreatitis” AND “Atlanta”. Only Randomized Clinical Trials comprising some recommendations released after the revised Atlanta Classification in 2012 were included in the study. RESULTS: Eighty-nine studies were selected and considered valid after inclusion, exclusion and qualitative evaluation criteria application. These studies were stratified as to whether, or not, they applied the recommendations suggested after the Atlanta Classification revision. Based on the results, 68.5% of the studies applied the recommendations, with emphasis on the application of severity classification (mild, moderately severe, severe); 16.4% of them were North-American and 14.7% were Chinese. The remaining 31.5% just focused on comparing or validating the severity classification. CONCLUSION: Few studies have disclosed any form of acceptance or practice of these recommendations, despite the US and Chinese efforts. The lack of incorporation of these recommendations didn’t enable harnessing the benefits of their application in the clinical practice (particularly the improvement of the communication among health professionals and directly association with the worst prognoses); thus, it is necessary mobilizing the international medical community in order to change this scenario.

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“…No mortality was reported and the predictors of long term PCD requirement were presence of persistent organ failure (POF), higher CTSI, prolonged drainage of amylase rich fluid, or poly-microbial growth in the culture. 35 In another report on PCD for pancreatic collections for uncontrolled pancreatic juice leakage (rather than infected necrosis), 39 out of 56 patients with ANP were drained percutaneously. The major indications for drainage in this report were abdominal pain, inability to resume oral intake, enlarging collections apart from other indication reported in the previous study by Sugimoto.…”

Section: Variations In Use Of Pcd In Acute Pancreatitismentioning

confidence: 99%

Percutaneous Interventions in Acute Necrotizing Pancreatitis

Sharma¹

2016

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Acute pancreatitis (AP) is a disease of varying severity with acute necrotizing pancreatitis (ANP) being the severe form of AP. ANP needs multidisciplinary management and is associated with significant mortality and morbidity. Local complications of ANP viz. acute necrotic collections (ANC) and walled off pancreatic necrosis (WOPN) need intervention if they are associated with symptoms, sepsis or worsening organ failure. As surgery is associated with higher morbidity and mortality, there is paradigm shift in the management of these local complications with an increased emphasis on conservative and minimally invasive treatment approach. Image-guided percutaneous drainage (PCD) is a minimally invasive intervention that helps in drainage of infected collections, temporizes sepsis and improves outcomes in these patients. The present review discusses the utility of various percutaneous interventions in management of variety of pancreatic collections occurring in ANP. The available evidence, technical details and complications and emerging innovations in the field are also summarized. Acute Pancreatitis (AP) is an acute inflammatory disease of the pancreas, which is characterized by the frequent development of local or systemic complications. It is broadly divided into two morphological patterns: interstitial, which is merely associated with edema of the pancreatic parenchyma or necrotizing, in which peri-pancreatic and/or pancreatic necrosis is present. [1][2][3] In the early phase of acute pancreatitis the heightened inflammatory response dominates the clinical picture while the late phase is characterized by development of local infective as well as non-infective complications. The pancreatic inflammation results in exudation of pancreatic juice and subsequent injury to the peri-pancreatic fat and tissues. 2,3 This results in formation of collections which may be associated with both interstitial and necrotizing pancreatitis. While the collections formed in relation to interstitial pancreatitis are predominantly fluid and are called as acute fluid collections (AFC), KEYWORDS:

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A percutaneous drainage protocol for severe and moderately severe acute pancreatitis

Abstract: A proactive PCD protocol persistently maintaining drain patency advanced to the site of leak controlled the prolonged amylase in drainage fluid resulting in a mortality rate of zero.

Cited by 22 publications

References 35 publications

Kissing catheter technique for percutaneous catheter drainage of necrotic pancreatic collections in acute pancreatitis

Kissing catheter technique for percutaneous catheter drainage of necrotic pancreatic collections in acute pancreatitis

The Acceptance of Changes in the Management of Patients With Acute Pancreatitis After the Revised Atlanta Classification

Percutaneous Interventions in Acute Necrotizing Pancreatitis

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