Surgical Management of Pseudocysts after Acute Pancreatitis

2008 ◽  
pp. 259-270
Author(s):  
B. M. Rau ◽  
H. G. Beger
Keyword(s):  
Acute Pancreatitis ◽  
Surgical Management

Classifications of acute pancreatitis: to Atlanta and beyond

Open Medicine ◽  
2014 ◽  
Vol 9 (4) ◽  
pp. 543-549
Author(s):  
Anna Pallisera ◽  
Farah Adel ◽  
Jose Ramia
Keyword(s):  
Acute Pancreatitis ◽  
Minimally Invasive ◽  
Surgical Management ◽  
Historical Review ◽  
Diagnostic Methods ◽  
Local Complications ◽  
Made In

AbstractUntil Atlanta Classification (AC) made in 1992, there was not any classification of acute pancreatitis (AP). Last twenty years AC let us compare results and papers. But the increasing understanding of the pathophysiology of AP, improvements in diagnostic methods and the development of minimally invasive tools for radiological, endoscopic and surgical management of local complications, several authors have called for the AC to be reviewed. Last months, two new classifications of AP have been published. We made a historical review of AC, the two new classifications and a comparison between them.

Evidence of wide variation in the surgical management of severe acute pancreatitis: Final results of a pan-European survey

2001 ◽  
Vol 120 (5) ◽  
pp. A94-A95
Author(s):  
Garth C. Beattie ◽  
Reuben Saharia ◽  
Ioannis T. Virlos ◽  
K. Siriwardena
Keyword(s):  
Acute Pancreatitis ◽  
Surgical Management ◽  
Severe Acute Pancreatitis ◽  
European Survey

Su1780 Surgical Management of Complicated Pancreatic Pseudocysts Following Acute Pancreatitis

2015 ◽  
Vol 148 (4) ◽  
pp. S-1147
Author(s):  
Stephen W. Behrman ◽  
Katy A. Marino ◽  
Leah E. Hendrick
Keyword(s):  
Acute Pancreatitis ◽  
Surgical Management ◽  
Pancreatic Pseudocysts

Surgical management of acute pancreatitis

1950 ◽  
Vol 80 (1) ◽  
pp. 18-23 ◽  
Author(s):  
Damon B. Pfeiffer ◽  
David B. Miller
Keyword(s):  
Acute Pancreatitis ◽  
Surgical Management

Surgical Management of Acute Pancreatitis

JAMA ◽  
1960 ◽  
Vol 174 (13) ◽  
pp. 1687 ◽  
Author(s):  
John M. Howard
Keyword(s):  
Acute Pancreatitis ◽  
Surgical Management

scholarly journals Interventional and surgical management of abdominal compartment syndrome in severe acute pancreatitis

Medicina ◽  
2010 ◽  
Vol 46 (4) ◽  
pp. 249 ◽  
Author(s):  
Žilvinas Dambrauskas ◽  
Audrius Paršeliūnas ◽  
Almantas Maleckas ◽  
Antanas Gulbinas ◽  
Giedrius Barauskas ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Surgical Management ◽  
Severe Acute Pancreatitis ◽  
Open Abdomen ◽  
Ultrasound Guided ◽  
Management Protocol ◽  
Fluid Collections ◽  
Abdominal Compartment

Background and objective. Management of the abdominal compartment syndrome during severe acute pancreatitis by the open abdomen method is associated with considerable morbidity and resource utilization. Thus, the aim of this study was to evaluate the safety and efficacy of the ultrasound-guided percutaneous interventions and/or minimally invasive surgery in the treatment of abdominal compartment syndrome. Material and methods. Forty-four patients with severe acute pancreatitis were enrolled into a prospective study and treated according to the standard management protocol. Interventional and/ or surgical management of abdominal compartment syndrome was employed in 6 (13.6%) cases. In the context of this study, we assessed the feasibility and effectiveness of subcutaneous fasciotomy of the anterior m. rectus abdominis sheath, as well as the role of ultrasound-guided drainage of intra-abdominal and peripancreatic fluid collections in the management of abdominal compartment syndrome. Results. Subcutaneous fasciotomy of the anterior m. rectus sheath and ultrasound-guided drainage of intra-abdominal and peripancreatic fluid collections seem to be safe (minor risk of bleeding or infection, closed abdomen, and easy care for the patient) and effective (resulted in a sustained decrease of intra-abdominal pressure to 13–16 mm Hg and regression of organ failures after intervention). Subcutaneous anterior m. rectus fasciotomy may appear to be beneficial in case of refractory abdominal compartment syndrome avoiding morbidity associated with the open abdomen technique. Conclusions. Both the subcutaneous fasciotomy and ultrasound-guided drainage of intra-abdominal and/or peripancreatic fluid collections seem to be safe and effective alternatives in the management of abdominal compartment syndrome; however, prospective studies are needed to further evaluate their clinical role.

IAP Guidelines for the surgical management of acute pancreatitis

Pancreatology ◽  
2002 ◽  
Vol 2 (6) ◽  
pp. 565-573 ◽  
Author(s):  
Waldemar Uhl ◽  
Andrew Warshaw ◽  
Clement Imrie ◽  
Claudio Bassi ◽  
Colin J. McKay ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Surgical Management

scholarly journals O-EGS05 The Prevalence of Bile Duct Stones in Patients Presenting with Acute Pancreatitis vs. Jaundice in a 5774 patient series. The Case for Single Session Surgical Management

2021 ◽  
Vol 108 (Supplement_9) ◽  
Author(s):  
Ahmad H m Nassar ◽  
Rhona Kilpatrick ◽  
Mahmoud Sallam ◽  
Kiren Ali
Keyword(s):  
Acute Pancreatitis ◽  
Surgical Treatment ◽  
Bile Duct ◽  
Hospital Stay ◽  
Surgical Management ◽  
Index Admission ◽  
Management Approach ◽  
Bile Duct Stones ◽  
Single Session ◽  
Cbd Stones

Abstract Background There is increasing evidence that single session laparoscopic cholecystectomy with cholangiography and, when necessary and available, bile duct exploration offers optimal clinical outcomes and superior cost benefits to patients with suspected bile duct stones. There is a perception that preoperative endoscopic clearance of bile duct stones is necessary in patients presenting with pancreatitis and jaundice. However, most patients do not have severe disease and are fit for index admission surgical management. We aim to study the prevalence of bile duct stones in pancreatitis vs. jaundice and evaluate this management approach with regards to preoperative and operative parameters and postoperative outcomes. Methods Analysis of prospectively maintained database of 5774 consecutive laparoscopic cholecystectomies, cholangiography(IOC) with or without bile duct exploration was undertaken. Patients with suspected bile duct stones are referred to one firm with an intention of single surgical treatment in the index admission. Data of patients presenting with acute pancreatitis and obstructive jaundice was extracted. In the absence of suspected malignancy there was a limited role for preoperative MRCP and ERCP. The incidence of confirmed CBD stones requiring exploration, type of exploration, morbidity, re-operations and readmissions, hospital stay, number of episodes, and presentation to resolution intervals were compared in the two groups. Results Conclusions Single session surgical treatment of patients with acute pancreatitis and jaundice by specialist firms in the index admission (89% and 86% if previous admissions by other units is excluded) offers many advantages. MRCP and ERCP utilisation is minimised in favour of IOC; two thirds of pancreatitis patients and one third of jaundiced patients have no CBD stones. Simple transcystic explorations deals with most stones in both groups. The morbidity, open conversion, readmissions, retained stones and re-operations are low. Total hospital stay, number of treatment episodes and presentation to resolution are optimised and should persuade surgeons to avoid subjecting patients to multiple treatments.

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