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Early ultrasound-guided percutaneous catheter drainage in the treatment of severe acute pancreatitis with acute fluid accumulation

  • Authors:
    • Huazhi Li
    • Yongzhe Wu
    • Chen Xu
    • Hongchao An
    • Chunhai Guo
    • Hongli Cui
  • View Affiliations / Copyright

    Affiliations: Department of General Surgery, Chuiyangliu Hospital Affiliated to Tsinghua University, Beijing 100022, P.R. China
    Copyright: © Li et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Pages: 1753-1757
    |
    Published online on: July 3, 2018
       https://doi.org/10.3892/etm.2018.6398
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Abstract

The clinical effect of early percutaneous ultrasound guided percutaneous catheter drainage (PCD) in treating severe acute pancreatitis complicated with acute fluid accumulation in the abdominal cavity was analyzed. A total of 178 patients with severe acute pancreatitis complicated with acute fluid accumulation in peritoneal cavity admitted from January, 2011 to January, 2015 to Chuiyangliu Hospital were retrospectively analyzed. Based on the treatment, patients were divided into the following groups: PCD group and conservative treatment control group. Time-period of systemic inflammatory response (SIRS), time-period of abdominal pain, bowel sounds recovery time, dietary recovery time, hospitalization days, white blood cell count, serum amylase, C-reactive protein, serum calcium and complications in both groups were observed and compared. The measurement data between the two groups were presented as mean ± standard deviation (±sd), and analyzed by t-test. Classification data were analyzed by the Chi-square test, with p<0.05 indicating a statistically significant difference. Time-period of systemic inflammatory response (SIRS), time-period of abdominal pain, bowel sounds recovery time, dietary recovery time and hospitalization days were shorter in the PCD group than those in the control group (p=0.001). Improvements of white blood cell count, serum amylase, C-reactive protein and serum calcium were better than those of the control group (p<0.001), the rate of transferring to surgical department in the PCD group was lower than that of the control group (p=0.042), and complications of severe acute pancreatitis were not significantly different in the two groups (p>0.05). In this study, 6 adverse events occurred in the PCD group, accounting for 7.9% (6/76), including 1 case of puncture bleeding and 5 cases of obstruction. In conclusion, early ultrasound-guided PCD in treating severe acute pancreatitis is effective and safe.
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Copy and paste a formatted citation
Spandidos Publications style
Li H, Wu Y, Xu C, An H, Guo C and Cui H: Early ultrasound-guided percutaneous catheter drainage in the treatment of severe acute pancreatitis with acute fluid accumulation. Exp Ther Med 16: 1753-1757, 2018.
APA
Li, H., Wu, Y., Xu, C., An, H., Guo, C., & Cui, H. (2018). Early ultrasound-guided percutaneous catheter drainage in the treatment of severe acute pancreatitis with acute fluid accumulation. Experimental and Therapeutic Medicine, 16, 1753-1757. https://doi.org/10.3892/etm.2018.6398
MLA
Li, H., Wu, Y., Xu, C., An, H., Guo, C., Cui, H."Early ultrasound-guided percutaneous catheter drainage in the treatment of severe acute pancreatitis with acute fluid accumulation". Experimental and Therapeutic Medicine 16.3 (2018): 1753-1757.
Chicago
Li, H., Wu, Y., Xu, C., An, H., Guo, C., Cui, H."Early ultrasound-guided percutaneous catheter drainage in the treatment of severe acute pancreatitis with acute fluid accumulation". Experimental and Therapeutic Medicine 16, no. 3 (2018): 1753-1757. https://doi.org/10.3892/etm.2018.6398
Copy and paste a formatted citation
x
Spandidos Publications style
Li H, Wu Y, Xu C, An H, Guo C and Cui H: Early ultrasound-guided percutaneous catheter drainage in the treatment of severe acute pancreatitis with acute fluid accumulation. Exp Ther Med 16: 1753-1757, 2018.
APA
Li, H., Wu, Y., Xu, C., An, H., Guo, C., & Cui, H. (2018). Early ultrasound-guided percutaneous catheter drainage in the treatment of severe acute pancreatitis with acute fluid accumulation. Experimental and Therapeutic Medicine, 16, 1753-1757. https://doi.org/10.3892/etm.2018.6398
MLA
Li, H., Wu, Y., Xu, C., An, H., Guo, C., Cui, H."Early ultrasound-guided percutaneous catheter drainage in the treatment of severe acute pancreatitis with acute fluid accumulation". Experimental and Therapeutic Medicine 16.3 (2018): 1753-1757.
Chicago
Li, H., Wu, Y., Xu, C., An, H., Guo, C., Cui, H."Early ultrasound-guided percutaneous catheter drainage in the treatment of severe acute pancreatitis with acute fluid accumulation". Experimental and Therapeutic Medicine 16, no. 3 (2018): 1753-1757. https://doi.org/10.3892/etm.2018.6398
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