Management of Inflammatory Pancreatic Fluid Collections and Walled-off Pancreatic Necrosis: A Retrospective Study Over Five Years
Khairallah, M., Khairallah, A., Kassem, M., Shaaban, A., El Keleny, M. (2020). Management of Inflammatory Pancreatic Fluid Collections and Walled-off Pancreatic Necrosis: A Retrospective Study Over Five Years. EKB Journal Management System, 79(1), 392-399. doi: 10.21608/ejhm.2020.78330
Mahmoud Khairallah; Ahmed Khairallah; Mohamed Ibrahim Kassem; Ahmed El Sayed Shaaban; Mostafa Refaie El Keleny. "Management of Inflammatory Pancreatic Fluid Collections and Walled-off Pancreatic Necrosis: A Retrospective Study Over Five Years". EKB Journal Management System, 79, 1, 2020, 392-399. doi: 10.21608/ejhm.2020.78330
Khairallah, M., Khairallah, A., Kassem, M., Shaaban, A., El Keleny, M. (2020). 'Management of Inflammatory Pancreatic Fluid Collections and Walled-off Pancreatic Necrosis: A Retrospective Study Over Five Years', EKB Journal Management System, 79(1), pp. 392-399. doi: 10.21608/ejhm.2020.78330
Khairallah, M., Khairallah, A., Kassem, M., Shaaban, A., El Keleny, M. Management of Inflammatory Pancreatic Fluid Collections and Walled-off Pancreatic Necrosis: A Retrospective Study Over Five Years. EKB Journal Management System, 2020; 79(1): 392-399. doi: 10.21608/ejhm.2020.78330

Management of Inflammatory Pancreatic Fluid Collections and Walled-off Pancreatic Necrosis: A Retrospective Study Over Five Years

The Egyptian Journal of Hospital Medicine
Article 7, Volume 79, Issue 1, April 2020, Page 392-399  XML PDF (530.25 K)
Document Type: Original Article
DOI: 10.21608/ejhm.2020.78330
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Authors
Mahmoud Khairallah1; Ahmed Khairallahorcid 2; Mohamed Ibrahim Kassem1; Ahmed El Sayed Shaaban1; Mostafa Refaie El Keleny1
1Department of General Surgery, Alexandria University, National Research Centre, Egypt
2Department of Internal Medicine, National Research Centre, Egypt
Abstract
Background and objective: Acute pancreatitis (AP) is an inflammatory process of the pancreas, with variable involvement of peri-pancreatic tissues and remote organ systems. In this study we discuss surgical and conservative management of acute pancreatitis and its local complication. Methods: This retrospective study was carried out on 128 patients, who were admitted to Gastrointestinal Surgery Unit, Main Alexandria University Hospital, Alexandria University, and who were complaining of acute pancreatitis with fluid collections and sequels (PP, ANC and walled-off pancreatic necrosis (WOPN). Medical information was retrieved retrospectively from patient’s files recorded in Main Alexandria University Hospital and from computerized data system in Gastrointestinal Surgery Department, between October 2013 – October 2018. Results: Forty-five patients with acute edematous pancreatitis with free collection were managed conservatively successfully. Thirty-two patients with PP underwent drainage, endoscopic (n=17), or open (n=15) approach. Twentythree patients with WON underwent drainage and debridement whether by open (n=11), endoscopic (n=9), or PCD (n=3) approaches. Twenty-eight patients with necrotizing pancreatitis, 16 patients were managed conservatively, 12 patients needed intervention either, PCD (n=9) or open surgical necrosectomy (n=3). Conclusions: The operative management of acute pancreatitis is focused on managing the acute complications, and the long-term sequelae. However, the evolution of videoscopic and endoscopic techniques have greatly expanded the tools available.
Keywords
Acute pancreatitis; Necrotizing pancreatitis; Pseudo pancreatic cyst; Walled off necrosis
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