Acute pancreatitis: an under-recognized risk of percutaneous transhepatic distal biliary intervention

Az, Al-Bahrani; Holt, Adrian; Am, Hamade; Gh, Abid; Hu, Laasch; Sj, O'Shea; Sh, Lee; Bj, Ammori

doi:10.1080/13651820600917294

Cited by 22 publications

(19 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Acute Pancreatitis.-Acute pancreatitis that occurs after biliary drainage (Fig 9) has a reported prevalence of 4%-6% (19), and distal biliary manipulation, stent placement across the ampulla of Vater, and placement of internal and/or external biliary drainage catheters involve a greater risk. Therefore, it is essential that interventionalists inform their patients of this risk when informed consent for PTBI is obtained and that they stay alert to the possible development of acute pancreatitis in the event that severe abdominal pain ensues after the intervention.…”

Section: Nonvascular Complicationsmentioning

confidence: 99%

Diagnosis and Management of Complications from Percutaneous Biliary Tract Interventions

et al. 2017

View full text Add to dashboard Cite

Complications related to percutaneous biliary tract interventions (PBTIs) can range from access site discomfort to life-threatening vascular complications. These complications are relatively uncommon, and most of them are self-limiting. However, major complications for which an increased level of patient care and/or a prolonged hospital stay are required and that may lead to death-albeit rarely-can occur. Some of the most common complications related to PBTI include pain, infection, bile leakage, and catheter blockage. These conditions can be easily recognized by using the patient's clinical history and laboratory examination results. However, the more uncommon complications, such as life-threatening hemobilia, acute pancreatitis, and catheter and stent fractures, may have nonspecific clinical manifestations, and the underlying pathologic condition may be found only when it is being sought specifically. It is important that diagnostic and interventional radiologists be aware of the wide spectrum of PBTI-related complications, as early recognition and treatment may prevent catastrophic situations. In addition, knowledge of the different treatment options is essential for guidance in interventional radiology procedures such as transarterial control of hemobilia, imaging-guided direct percutaneous embolization of pseudoaneurysms, and percutaneous treatment of catheter- and stent-related complications such as fractures. The authors review a wide spectrum of complications associated with PBTI and the percutaneous management of these conditions. They also highlight valuable lessons learned from morbidity and mortality rounds at a high-volume tertiary care center. RSNA, 2017.

show abstract

Section: Nonvascular Complicationsmentioning

confidence: 99%

Diagnosis and Management of Complications from Percutaneous Biliary Tract Interventions

et al. 2017

View full text Add to dashboard Cite

show abstract

“…5 A review of literature by Al-Bahrani AZ et al found 11 reported cases of pancreatitis as a complication of percutaneous transhepatic interventions (PTBI) and documented five patients with pancreatitis following PTBI in their original research. 6 An interesting observation was a risk of pancreatitis comparable to ERCP. This risk is greater with distal interventions than with proximal procedures.…”

Section: Discussionmentioning

confidence: 99%

Hemorrhagic acute pancreatitis following percutaneous transhepatic biliary drainage: a rare and serious complication

Gamanagatti¹

2015

View full text Add to dashboard Cite

“…The application of a negative pressure is a novel approach to severe abdominal sepsis and laparostomy management with a view to preventing compartment syndrome and fatal sepsis, and it can lead to complete abdominal wound closure. patients with a high mortality risk [9]; it complicates 9% of ERCP in OLT patients [4], whereas no specific data are available on PTBD procedures in the OLT population.…”

Section: Discussionmentioning

confidence: 99%

“…Acute pancreatitis after PTBD in untransplanted patients with biliary strictures occurs in about 6.6% of patients with a high mortality risk [9]; it complicates 9% of ERCP in OLT patients [4], whereas no specific data are available on PTBD procedures in the OLT population.…”

Section: Introductionmentioning

confidence: 99%

A novel approach to severe acute pancreatitis in sequential liver-kidney transplantation: the first report on the application of VAC therapy

Zanus

Boetto

D’Amico

et al. 2010

Transplant International

View full text Add to dashboard Cite

P>This work is the first report of vacuum-assisted closure (VAC) therapy applied as a life-saving surgical treatment for severe acute pancreatitis occurring in a sequential liver- and kidney-transplanted patient who had percutaneous biliary drainage for obstructive "late-onset" jaundice. Surgical exploration with necrosectomy and sequential laparotomies was performed because of increasing intra-abdominal pressure with hemodynamic instability and intra-abdominal multidrug-resistant sepsis, with increasingly difficult abdominal closure. Repeated laparotomies with VAC therapy (applying a continuous negative abdominal pressure) enabled a progressive, successful abdominal decompression, with the clearance of infection and definitive abdominal wound closure. The application of a negative pressure is a novel approach to severe abdominal sepsis and laparostomy management with a view to preventing compartment syndrome and fatal sepsis, and it can lead to complete abdominal wound closure

show abstract

Acute pancreatitis: an under-recognized risk of percutaneous transhepatic distal biliary intervention

Abstract: The risk of acute pancreatitis after distal PTBI is under-recognized and should be considered as a consent issue in patients scheduled for distal PTBI and when post-procedure abdominal pain ensues.

Cited by 22 publications

References 21 publications

Diagnosis and Management of Complications from Percutaneous Biliary Tract Interventions

Diagnosis and Management of Complications from Percutaneous Biliary Tract Interventions

Hemorrhagic acute pancreatitis following percutaneous transhepatic biliary drainage: a rare and serious complication

A novel approach to severe acute pancreatitis in sequential liver-kidney transplantation: the first report on the application of VAC therapy

Contact Info

Product

Resources

About