Reduction of intra-abdominal pressure after percutaneous catheter drainage of pancreatic fluid collection predicts survival
Intra-abdominal hypertension (IAH) can adversely affect the outcome in patients of acute pancreatitis (AP). Effect of percutaneous drainage (PCD) on IAH has not been studied. We studied the effect of PCD on IAH in patients with acute fluid collections. Consecutive patients of AP undergoing PCD betwe...
Gespeichert in:
| Veröffentlicht in: | Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] 2020-06, Vol.20 (4), p.772-777 |
|---|---|
| Hauptverfasser: | , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 777 |
|---|---|
| container_issue | 4 |
| container_start_page | 772 |
| container_title | Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] |
| container_volume | 20 |
| creator | Singh, Anupam K. Samanta, Jayanta Dawra, Saurabh Gupta, Pankaj Rana, Atul Sharma, Vishal Kumar-M, Praveen Sinha, Saroj K. Kochhar, Rakesh |
| description | Intra-abdominal hypertension (IAH) can adversely affect the outcome in patients of acute pancreatitis (AP). Effect of percutaneous drainage (PCD) on IAH has not been studied. We studied the effect of PCD on IAH in patients with acute fluid collections.
Consecutive patients of AP undergoing PCD between Jan 2016 and May 2018 were evaluated for severity markers, clinical course, hospital and ICU stay, and mortality. Patients were divided into two groups: with IAH and with no IAH (NIAH). The two groups were compared for severity scores, organ failure, hospital and ICU stay, reduction in IAP and mortality.
Of the 105 patients, IAH was present in 48 (45.7%) patients. Patients with IAH had more often severe disease, BISAP ≥2, higher APACHE II scores and computed tomography severity index (CTSI). IAH group had more often OF (87.5% vs. 70.2%, p = 0.033), prolonged ICU stay (12.5 vs. 6.75 days, p = 0.007) and higher mortality (52.1% vs. 15.8%, p 40% of baseline value predicts a better outcome after PCD in patients with acute fluid collections. |
| doi_str_mv | 10.1016/j.pan.2020.04.012 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2398154176</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1424390320301411</els_id><sourcerecordid>2398154176</sourcerecordid><originalsourceid>FETCH-LOGICAL-c381t-fc2c9c256a30984c948f86d9abf53faa480e86bc33e2c49af13433e5a21202e23</originalsourceid><addsrcrecordid>eNp9kU2LFDEQhoMo7rr6A7xIwIuXblNJprcbT7L4BQuC6DnUpCuaoafTJukB8c9bQ6978GAuCeGpl-R5hXgOqgUF3etDu-DcaqVVq2yrQD8Ql2C1bcwA8PD-rMyFeFLKQSmtAYbH4sJo0ylel-L3FxpXX2OaZQoyzjVjg_sxHeOMk1wylbJmkhgqZblQ9mvFmdJapMf6g863Y0aGv9M5gN_jM2GNXoZpjaP0aZpoy-ewMfpaJCee4gmnp-JRwKnQs7v9Snx7_-7rzcfm9vOHTzdvbxtveqhN8NoPXu86NGrorR9sH_puHHAfdiYg2l5R3-29MaS9HTCAsXzeoQZWQ9pciVdb7pLTz5VKdcdYPE3T9hOnzdDDzsJ1x-jLf9BDWjOrYIqBa_YKwBRslM-plEzBLTkeMf9yoNy5GXdwbMKdm3HKOm6GZ17cJa_7I433E3-rYODNBhCrOEXKrvhIs2dpmQ26McX_xP8BigKgQw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2417791111</pqid></control><display><type>article</type><title>Reduction of intra-abdominal pressure after percutaneous catheter drainage of pancreatic fluid collection predicts survival</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Singh, Anupam K. ; Samanta, Jayanta ; Dawra, Saurabh ; Gupta, Pankaj ; Rana, Atul ; Sharma, Vishal ; Kumar-M, Praveen ; Sinha, Saroj K. ; Kochhar, Rakesh</creator><creatorcontrib>Singh, Anupam K. ; Samanta, Jayanta ; Dawra, Saurabh ; Gupta, Pankaj ; Rana, Atul ; Sharma, Vishal ; Kumar-M, Praveen ; Sinha, Saroj K. ; Kochhar, Rakesh</creatorcontrib><description>Intra-abdominal hypertension (IAH) can adversely affect the outcome in patients of acute pancreatitis (AP). Effect of percutaneous drainage (PCD) on IAH has not been studied. We studied the effect of PCD on IAH in patients with acute fluid collections.
Consecutive patients of AP undergoing PCD between Jan 2016 and May 2018 were evaluated for severity markers, clinical course, hospital and ICU stay, and mortality. Patients were divided into two groups: with IAH and with no IAH (NIAH). The two groups were compared for severity scores, organ failure, hospital and ICU stay, reduction in IAP and mortality.
Of the 105 patients, IAH was present in 48 (45.7%) patients. Patients with IAH had more often severe disease, BISAP ≥2, higher APACHE II scores and computed tomography severity index (CTSI). IAH group had more often OF (87.5% vs. 70.2%, p = 0.033), prolonged ICU stay (12.5 vs. 6.75 days, p = 0.007) and higher mortality (52.1% vs. 15.8%, p < 0.001). After PCD, IAP decreased significantly more in the IAH group (21.85 ± 4.53 mmHg to 12.5 ± 4.42 mmHg) than in the NIAH group (12.68 ± 2.72 mmHg to 8.32 ± 3.18 mmHg), p = <0.001. Reduction of IAP in patients with IAH by >40% at 48 h after PCD was associated with better survival (63.3% vs. 36.7%, p = 0.006).
We observed that patients with IAH have poor outcome. PCD decreases IAP and a fall in IAP >40% of baseline value predicts a better outcome after PCD in patients with acute fluid collections.</description><identifier>ISSN: 1424-3903</identifier><identifier>EISSN: 1424-3911</identifier><identifier>DOI: 10.1016/j.pan.2020.04.012</identifier><identifier>PMID: 32360000</identifier><language>eng</language><publisher>Switzerland: Elsevier B.V</publisher><subject>Abdomen ; Acute pancreatitis ; Adult ; Ascites ; Catheters ; Collections ; Computed tomography ; Disease ; Drainage - methods ; Female ; Humans ; Intra-abdominal hypertension ; Intra-Abdominal Hypertension - therapy ; Intra-abdominal pressure ; Male ; Middle Aged ; Mortality ; Pain ; Pancreas ; Pancreatic fluid collections ; Pancreatic Juice ; Pancreatitis ; Pancreatitis - complications ; Pancreatitis - mortality ; Patients ; Percutaneous catheter drainage ; Retrospective Studies ; Software ; Survival ; Wound drainage</subject><ispartof>Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.], 2020-06, Vol.20 (4), p.772-777</ispartof><rights>2020</rights><rights>Copyright © 2020. Published by Elsevier B.V.</rights><rights>Copyright Elsevier Limited Jun 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c381t-fc2c9c256a30984c948f86d9abf53faa480e86bc33e2c49af13433e5a21202e23</citedby><cites>FETCH-LOGICAL-c381t-fc2c9c256a30984c948f86d9abf53faa480e86bc33e2c49af13433e5a21202e23</cites><orcidid>0000-0003-2472-3409 ; 0000-0002-9318-1167</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32360000$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Singh, Anupam K.</creatorcontrib><creatorcontrib>Samanta, Jayanta</creatorcontrib><creatorcontrib>Dawra, Saurabh</creatorcontrib><creatorcontrib>Gupta, Pankaj</creatorcontrib><creatorcontrib>Rana, Atul</creatorcontrib><creatorcontrib>Sharma, Vishal</creatorcontrib><creatorcontrib>Kumar-M, Praveen</creatorcontrib><creatorcontrib>Sinha, Saroj K.</creatorcontrib><creatorcontrib>Kochhar, Rakesh</creatorcontrib><title>Reduction of intra-abdominal pressure after percutaneous catheter drainage of pancreatic fluid collection predicts survival</title><title>Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.]</title><addtitle>Pancreatology</addtitle><description>Intra-abdominal hypertension (IAH) can adversely affect the outcome in patients of acute pancreatitis (AP). Effect of percutaneous drainage (PCD) on IAH has not been studied. We studied the effect of PCD on IAH in patients with acute fluid collections.
Consecutive patients of AP undergoing PCD between Jan 2016 and May 2018 were evaluated for severity markers, clinical course, hospital and ICU stay, and mortality. Patients were divided into two groups: with IAH and with no IAH (NIAH). The two groups were compared for severity scores, organ failure, hospital and ICU stay, reduction in IAP and mortality.
Of the 105 patients, IAH was present in 48 (45.7%) patients. Patients with IAH had more often severe disease, BISAP ≥2, higher APACHE II scores and computed tomography severity index (CTSI). IAH group had more often OF (87.5% vs. 70.2%, p = 0.033), prolonged ICU stay (12.5 vs. 6.75 days, p = 0.007) and higher mortality (52.1% vs. 15.8%, p < 0.001). After PCD, IAP decreased significantly more in the IAH group (21.85 ± 4.53 mmHg to 12.5 ± 4.42 mmHg) than in the NIAH group (12.68 ± 2.72 mmHg to 8.32 ± 3.18 mmHg), p = <0.001. Reduction of IAP in patients with IAH by >40% at 48 h after PCD was associated with better survival (63.3% vs. 36.7%, p = 0.006).
We observed that patients with IAH have poor outcome. PCD decreases IAP and a fall in IAP >40% of baseline value predicts a better outcome after PCD in patients with acute fluid collections.</description><subject>Abdomen</subject><subject>Acute pancreatitis</subject><subject>Adult</subject><subject>Ascites</subject><subject>Catheters</subject><subject>Collections</subject><subject>Computed tomography</subject><subject>Disease</subject><subject>Drainage - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Intra-abdominal hypertension</subject><subject>Intra-Abdominal Hypertension - therapy</subject><subject>Intra-abdominal pressure</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Pain</subject><subject>Pancreas</subject><subject>Pancreatic fluid collections</subject><subject>Pancreatic Juice</subject><subject>Pancreatitis</subject><subject>Pancreatitis - complications</subject><subject>Pancreatitis - mortality</subject><subject>Patients</subject><subject>Percutaneous catheter drainage</subject><subject>Retrospective Studies</subject><subject>Software</subject><subject>Survival</subject><subject>Wound drainage</subject><issn>1424-3903</issn><issn>1424-3911</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU2LFDEQhoMo7rr6A7xIwIuXblNJprcbT7L4BQuC6DnUpCuaoafTJukB8c9bQ6978GAuCeGpl-R5hXgOqgUF3etDu-DcaqVVq2yrQD8Ql2C1bcwA8PD-rMyFeFLKQSmtAYbH4sJo0ylel-L3FxpXX2OaZQoyzjVjg_sxHeOMk1wylbJmkhgqZblQ9mvFmdJapMf6g863Y0aGv9M5gN_jM2GNXoZpjaP0aZpoy-ewMfpaJCee4gmnp-JRwKnQs7v9Snx7_-7rzcfm9vOHTzdvbxtveqhN8NoPXu86NGrorR9sH_puHHAfdiYg2l5R3-29MaS9HTCAsXzeoQZWQ9pciVdb7pLTz5VKdcdYPE3T9hOnzdDDzsJ1x-jLf9BDWjOrYIqBa_YKwBRslM-plEzBLTkeMf9yoNy5GXdwbMKdm3HKOm6GZ17cJa_7I433E3-rYODNBhCrOEXKrvhIs2dpmQ26McX_xP8BigKgQw</recordid><startdate>202006</startdate><enddate>202006</enddate><creator>Singh, Anupam K.</creator><creator>Samanta, Jayanta</creator><creator>Dawra, Saurabh</creator><creator>Gupta, Pankaj</creator><creator>Rana, Atul</creator><creator>Sharma, Vishal</creator><creator>Kumar-M, Praveen</creator><creator>Sinha, Saroj K.</creator><creator>Kochhar, Rakesh</creator><general>Elsevier B.V</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2472-3409</orcidid><orcidid>https://orcid.org/0000-0002-9318-1167</orcidid></search><sort><creationdate>202006</creationdate><title>Reduction of intra-abdominal pressure after percutaneous catheter drainage of pancreatic fluid collection predicts survival</title><author>Singh, Anupam K. ; Samanta, Jayanta ; Dawra, Saurabh ; Gupta, Pankaj ; Rana, Atul ; Sharma, Vishal ; Kumar-M, Praveen ; Sinha, Saroj K. ; Kochhar, Rakesh</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c381t-fc2c9c256a30984c948f86d9abf53faa480e86bc33e2c49af13433e5a21202e23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Abdomen</topic><topic>Acute pancreatitis</topic><topic>Adult</topic><topic>Ascites</topic><topic>Catheters</topic><topic>Collections</topic><topic>Computed tomography</topic><topic>Disease</topic><topic>Drainage - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Intra-abdominal hypertension</topic><topic>Intra-Abdominal Hypertension - therapy</topic><topic>Intra-abdominal pressure</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Pain</topic><topic>Pancreas</topic><topic>Pancreatic fluid collections</topic><topic>Pancreatic Juice</topic><topic>Pancreatitis</topic><topic>Pancreatitis - complications</topic><topic>Pancreatitis - mortality</topic><topic>Patients</topic><topic>Percutaneous catheter drainage</topic><topic>Retrospective Studies</topic><topic>Software</topic><topic>Survival</topic><topic>Wound drainage</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Singh, Anupam K.</creatorcontrib><creatorcontrib>Samanta, Jayanta</creatorcontrib><creatorcontrib>Dawra, Saurabh</creatorcontrib><creatorcontrib>Gupta, Pankaj</creatorcontrib><creatorcontrib>Rana, Atul</creatorcontrib><creatorcontrib>Sharma, Vishal</creatorcontrib><creatorcontrib>Kumar-M, Praveen</creatorcontrib><creatorcontrib>Sinha, Saroj K.</creatorcontrib><creatorcontrib>Kochhar, Rakesh</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.]</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Singh, Anupam K.</au><au>Samanta, Jayanta</au><au>Dawra, Saurabh</au><au>Gupta, Pankaj</au><au>Rana, Atul</au><au>Sharma, Vishal</au><au>Kumar-M, Praveen</au><au>Sinha, Saroj K.</au><au>Kochhar, Rakesh</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Reduction of intra-abdominal pressure after percutaneous catheter drainage of pancreatic fluid collection predicts survival</atitle><jtitle>Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.]</jtitle><addtitle>Pancreatology</addtitle><date>2020-06</date><risdate>2020</risdate><volume>20</volume><issue>4</issue><spage>772</spage><epage>777</epage><pages>772-777</pages><issn>1424-3903</issn><eissn>1424-3911</eissn><abstract>Intra-abdominal hypertension (IAH) can adversely affect the outcome in patients of acute pancreatitis (AP). Effect of percutaneous drainage (PCD) on IAH has not been studied. We studied the effect of PCD on IAH in patients with acute fluid collections.
Consecutive patients of AP undergoing PCD between Jan 2016 and May 2018 were evaluated for severity markers, clinical course, hospital and ICU stay, and mortality. Patients were divided into two groups: with IAH and with no IAH (NIAH). The two groups were compared for severity scores, organ failure, hospital and ICU stay, reduction in IAP and mortality.
Of the 105 patients, IAH was present in 48 (45.7%) patients. Patients with IAH had more often severe disease, BISAP ≥2, higher APACHE II scores and computed tomography severity index (CTSI). IAH group had more often OF (87.5% vs. 70.2%, p = 0.033), prolonged ICU stay (12.5 vs. 6.75 days, p = 0.007) and higher mortality (52.1% vs. 15.8%, p < 0.001). After PCD, IAP decreased significantly more in the IAH group (21.85 ± 4.53 mmHg to 12.5 ± 4.42 mmHg) than in the NIAH group (12.68 ± 2.72 mmHg to 8.32 ± 3.18 mmHg), p = <0.001. Reduction of IAP in patients with IAH by >40% at 48 h after PCD was associated with better survival (63.3% vs. 36.7%, p = 0.006).
We observed that patients with IAH have poor outcome. PCD decreases IAP and a fall in IAP >40% of baseline value predicts a better outcome after PCD in patients with acute fluid collections.</abstract><cop>Switzerland</cop><pub>Elsevier B.V</pub><pmid>32360000</pmid><doi>10.1016/j.pan.2020.04.012</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-2472-3409</orcidid><orcidid>https://orcid.org/0000-0002-9318-1167</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1424-3903 |
| ispartof | Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.], 2020-06, Vol.20 (4), p.772-777 |
| issn | 1424-3903 1424-3911 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2398154176 |
| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Abdomen Acute pancreatitis Adult Ascites Catheters Collections Computed tomography Disease Drainage - methods Female Humans Intra-abdominal hypertension Intra-Abdominal Hypertension - therapy Intra-abdominal pressure Male Middle Aged Mortality Pain Pancreas Pancreatic fluid collections Pancreatic Juice Pancreatitis Pancreatitis - complications Pancreatitis - mortality Patients Percutaneous catheter drainage Retrospective Studies Software Survival Wound drainage |
| title | Reduction of intra-abdominal pressure after percutaneous catheter drainage of pancreatic fluid collection predicts survival |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-26T17%3A40%3A08IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Reduction%20of%20intra-abdominal%20pressure%20after%20percutaneous%20catheter%20drainage%20of%20pancreatic%20fluid%20collection%20predicts%20survival&rft.jtitle=Pancreatology%20:%20official%20journal%20of%20the%20International%20Association%20of%20Pancreatology%20(IAP)%20...%20%5Bet%20al.%5D&rft.au=Singh,%20Anupam%20K.&rft.date=2020-06&rft.volume=20&rft.issue=4&rft.spage=772&rft.epage=777&rft.pages=772-777&rft.issn=1424-3903&rft.eissn=1424-3911&rft_id=info:doi/10.1016/j.pan.2020.04.012&rft_dat=%3Cproquest_cross%3E2398154176%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2417791111&rft_id=info:pmid/32360000&rft_els_id=S1424390320301411&rfr_iscdi=true |