A One Year Study of Pancreatic Fluid Collections at a Tertiary Care Hospital of South India
Journal Title: International Journal of Contemporary Medicine surgery and Radiology - Year 2018, Vol 3, Issue 2
Abstract
Introduction: Pancreatic fluid collections are categorised into pseudocysts (PC) and walled-off necrosis. Drainage is required in cases when there are mass effects like obstruction or infection. Endoscopic ultra sounded drainage is now firmly established as the best option for drainage of walled off pseudocysts. The study outlines the procedure with respect to its technical success, recurrence rate and complications. Material and methods: A cross sectional study was conducted for 6 months after approval of ethical committee. Endoscopic ultrasound drainage was performed on 50 selected cases and all the features were noted with follow up. The data was statistically analyzed by using SPSS software and P value <0.01 was considered significant. Results: 50 cases were placed in two Groups of A with pancreatic pseudocyst and Group B with Pancreatic abscess. Mean age of study group was 53±14 years and mean hospital stay of the total cases in the study was 10 ± 2.8 days with technical success rate of 88%. No relapses were observed in the study. 4% was the mortality in the study with all in Group B. The treatment procedures was EUS-D alone in 31 (62%) of cases and EUS-D with stenting in 16% followed by percutaneous drainage in 14% and necrosectomy in 8% of cases. Discussion: EUS-d is the preferred modality for drainage of pancreatic fluid collections in asymptomatic individuals. The plan of strategy in patients with walled off pancreatic necrosis can be drained by either plastic or metallic stents is an ongoing work with multiple results favouring the plastic stents in drainage. We suggest that patients with thick walled collections should be managed surgically until development of new devices for wall penetration is developed.
Authors and Affiliations
Suresh Kumar, Kishore Kumar Markapuram, Srinivas M G, Ramakrishna Baru, Sreeram Satish
Keywords
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- EP ID EP424354
- DOI 10.21276/ijcmsr.2018.3.2.23
- Views 119
- Downloads 0
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