CASE REPORT: Inappropriate use of percutaneous drainage in the management of pancreatic necrosis

Authors
Kam, A Young, N Markson, G Wong, KP Brancatisano, R
Citation
A. Kam et al., CASE REPORT: Inappropriate use of percutaneous drainage in the management of pancreatic necrosis, J GASTR HEP, 14(7), 1999, pp. 699-704
Citations number
15
Categorie Soggetti
Gastroenerology and Hepatology","da verificare
Journal title
JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY
ISSN journal
08159319 → ACNP
Volume
14
Issue
7
Year of publication
1999
Pages
699 - 704
Database
ISI
SICI code
0815-9319(199907)14:7<699:CRIUOP>2.0.ZU;2-N
Abstract
We describe three cases of severe necrotizing pancreatitis, with Apache II scores of 11, 17 and 22, respectively. There was no significant pancreatic parenchymal perfusion in any of the three patients on contrast-enhanced com puted tomography. All three patients were primarily treated with percutaneo us drains and all three subsequently required open laparotomies. We do not recommend percutaneous drainage as a definitive therapy for severe necrotiz ing pancreatitis. (C) 1999 Blackwell Science Asia Pty Ltd.