Percutaneous drainage of infected pancreatic fluid collections in critically ill patients: correlation with C-reactive protein values

Percutaneous Catheter Drainage in Infected Pancreatitis Necrosis: a Systematic Review

“…Diagnosis was the presence of gas in the peripancreatic collection on CT or a positive culture at fineneedle aspiration. The etiology of infected pancreatitis necrosis was reported in 9 studies [8,16,17,25,27,28,[33][34][35], in which the most common cause was biliary tract disease. APACHE II scores and CT severity index scores were used in the 10 studies [8,16,17,28,29,31,[33][34][35][36]; 0.195 (55.3 %) of 352 patients had organ failure before PCD in 9 studies (including single and multiple organ failure) [8,17,29,30,[32][33][34][35][36].…”

“…Seven studies reported the mean length of hospital stay [16,[27][28][29][31][32][33], which ranged from 3 to 241 days. Eight studies reported the mean length of initial treatment with PCD after hospital admission [8,16,17,25,28,29,32,35].…”

“…Additional intervention was percutaneous necrosectomy in 18 patients, elective surgery in 13 patients, VARD in 24 patients, surgical in 87 patients, retroperitoneal necrosectomy in 3 patients, and surgical necrosectomy in 98 patients. The average (mean or median) time interval between the first PCD and surgery was reported in 8 series [8,16,17,27,29,30,32,35] and ranged from 1 to 600 days.…”

“…Of the total 15 articles, 12 studies reported the size of catheters, which ranged from 6 to 32 French [16,17,[25][26][27][28][29][31][32][33][34][35]. Moreover, most of the radiological interventions were CT guided.…”

“…One study deemed that the viscous fluid and fluid that contained particles should be drained by using large catheters while low-viscosity fluid should be drained by using small bore catheters [25]. Nine articles reported the mean number of catheters per patient [16,25,[27][28][29][32][33][34][35]. Three studies showed that the catheter placement was accomplished by means of the trocar technique via the most direct transperitoneal route, avoiding intervening bowel and solid organs [16,27,32].…”