Abdominal Compartment Syndrome and Intra-abdominal Ischemia in Patients with Severe Acute Pancreatitis
Introduction Severe acute pancreatitis may be complicated by intra-abdominal hypertension (IAH), abdominal compartment syndrome (ACS), and intestinal ischemia. The aim of this retrospective study is to describe the incidence, treatment, and outcome of patients with severe acute pancreatitis and ACS,...
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Veröffentlicht in: | World journal of surgery 2016-06, Vol.40 (6), p.1454-1461 |
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description | Introduction
Severe acute pancreatitis may be complicated by intra-abdominal hypertension (IAH), abdominal compartment syndrome (ACS), and intestinal ischemia. The aim of this retrospective study is to describe the incidence, treatment, and outcome of patients with severe acute pancreatitis and ACS, in particular the occurrence of intestinal ischemia.
Methods
The medical records of all patients admitted with severe acute pancreatitis admitted to the ICU of a tertiary referral center were reviewed. The criteria proposed by the World Society of the Abdominal Compartment Syndrome (WSACS) were used to determine whether patients had IAH or ACS.
Results
Fifty-nine patients with severe acute pancreatitis were identified. Intra-abdominal pressure (IAP) measurements were performed in 29 patients (49.2 %). IAH was present in all patients (29/29). ACS developed in 13/29 (44.8 %) patients. Ten patients with ACS underwent decompressive laparotomy. A large proportion of patients with ACS had intra-abdominal ischemia upon laparotomy: 8/13 (61.5 %). Mortality was high in both the ACS group and the IAH group.
Conclusion
This study confirms that ACS is common in severe acute pancreatitis. Intra-abdominal ischemia occurs in a large proportion of patients with ACS. Swift surgical intervention may be indicated when conservative measures fail in patients with ACS. National and international guidelines need to be updated so that routine IAP measurements become standard of care for patients with severe acute pancreatitis in the ICU. |
doi_str_mv | 10.1007/s00268-015-3388-7 |
format | Article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4868862</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1802201165</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5539-1904a815f1cecb92a09a1e0d81fa11f6d5631d2b523bc96df3bda593cd78c5dd3</originalsourceid><addsrcrecordid>eNqFkUGL1DAcxYMo7rj6AbxIwYuX6j9JkyYXYRxcHVlQGMVjSJN0J0ubjkm7y3x7U7oOqyB7SuD93uMlD6GXGN5igPpdAiBclIBZSakQZf0IrXBFSUkooY_RCiiv8h3TM_QspWsAXHPgT9FZdlGQIFeoXTd26H3QXbEZ-oOOY-_CWOyOwcahd4UOttiGMepSn8BtMnvXe134UHzTo8-GVNz6cV_s3I2LrlibaXRZCia6rI8-PUdPWt0l9-LuPEc_Lj5-33wuL79-2m7Wl6VhjMoSS6i0wKzFxplGEg1SYwdW4FZj3HLLOMWWNIzQxkhuW9pYzSQ1thaGWUvP0fsl9zA1vbPGzdU7dYi-1_GoBu3V30rwe3U13KhKcCE4yQFv7gLi8GtyaVS9T8Z1nQ5umJLCAggBjDl7GK2FrJmoYUZf_4NeD1PMf7lQuKp4JTOFF8rEIaXo2lNvDGoeXC2Dqzy4mgdXdfa8uv_gk-PPwhmQC3DrO3d8OFH9_LL7cAF1LWcvWbwp28KVi_dq_7fRb8ioyFI</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1789144649</pqid></control><display><type>article</type><title>Abdominal Compartment Syndrome and Intra-abdominal Ischemia in Patients with Severe Acute Pancreatitis</title><source>MEDLINE</source><source>SpringerNature Journals</source><source>Access via Wiley Online Library</source><creator>Smit, M. ; Buddingh, K. T. ; Bosma, B. ; Nieuwenhuijs, V. B. ; Hofker, H. S. ; Zijlstra, J. G.</creator><creatorcontrib>Smit, M. ; Buddingh, K. T. ; Bosma, B. ; Nieuwenhuijs, V. B. ; Hofker, H. S. ; Zijlstra, J. G.</creatorcontrib><description>Introduction
Severe acute pancreatitis may be complicated by intra-abdominal hypertension (IAH), abdominal compartment syndrome (ACS), and intestinal ischemia. The aim of this retrospective study is to describe the incidence, treatment, and outcome of patients with severe acute pancreatitis and ACS, in particular the occurrence of intestinal ischemia.
Methods
The medical records of all patients admitted with severe acute pancreatitis admitted to the ICU of a tertiary referral center were reviewed. The criteria proposed by the World Society of the Abdominal Compartment Syndrome (WSACS) were used to determine whether patients had IAH or ACS.
Results
Fifty-nine patients with severe acute pancreatitis were identified. Intra-abdominal pressure (IAP) measurements were performed in 29 patients (49.2 %). IAH was present in all patients (29/29). ACS developed in 13/29 (44.8 %) patients. Ten patients with ACS underwent decompressive laparotomy. A large proportion of patients with ACS had intra-abdominal ischemia upon laparotomy: 8/13 (61.5 %). Mortality was high in both the ACS group and the IAH group.
Conclusion
This study confirms that ACS is common in severe acute pancreatitis. Intra-abdominal ischemia occurs in a large proportion of patients with ACS. Swift surgical intervention may be indicated when conservative measures fail in patients with ACS. National and international guidelines need to be updated so that routine IAP measurements become standard of care for patients with severe acute pancreatitis in the ICU.</description><identifier>ISSN: 0364-2313</identifier><identifier>EISSN: 1432-2323</identifier><identifier>DOI: 10.1007/s00268-015-3388-7</identifier><identifier>PMID: 26830909</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Abdominal Compartment Syndrome ; Abdominal Surgery ; Aged ; Cardiac Surgery ; Decompression, Surgical ; Female ; General Surgery ; Humans ; Intensive Care Unit ; Intestines - blood supply ; Intra-Abdominal Hypertension - etiology ; Intra-Abdominal Hypertension - surgery ; Ischemia - etiology ; Laparotomy ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Multiple Organ Failure ; Original Scientific Report ; Pancreatitis ; Pancreatitis - complications ; Retrospective Studies ; Severe Acute Pancreatitis ; Surgery ; Thoracic Surgery ; Vascular Surgery</subject><ispartof>World journal of surgery, 2016-06, Vol.40 (6), p.1454-1461</ispartof><rights>The Author(s) 2016</rights><rights>2016 The Author(s)</rights><rights>Société Internationale de Chirurgie 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5539-1904a815f1cecb92a09a1e0d81fa11f6d5631d2b523bc96df3bda593cd78c5dd3</citedby><cites>FETCH-LOGICAL-c5539-1904a815f1cecb92a09a1e0d81fa11f6d5631d2b523bc96df3bda593cd78c5dd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00268-015-3388-7$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00268-015-3388-7$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,315,781,785,886,1418,27929,27930,41493,42562,45579,45580,51324</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26830909$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Smit, M.</creatorcontrib><creatorcontrib>Buddingh, K. T.</creatorcontrib><creatorcontrib>Bosma, B.</creatorcontrib><creatorcontrib>Nieuwenhuijs, V. B.</creatorcontrib><creatorcontrib>Hofker, H. S.</creatorcontrib><creatorcontrib>Zijlstra, J. G.</creatorcontrib><title>Abdominal Compartment Syndrome and Intra-abdominal Ischemia in Patients with Severe Acute Pancreatitis</title><title>World journal of surgery</title><addtitle>World J Surg</addtitle><addtitle>World J Surg</addtitle><description>Introduction
Severe acute pancreatitis may be complicated by intra-abdominal hypertension (IAH), abdominal compartment syndrome (ACS), and intestinal ischemia. The aim of this retrospective study is to describe the incidence, treatment, and outcome of patients with severe acute pancreatitis and ACS, in particular the occurrence of intestinal ischemia.
Methods
The medical records of all patients admitted with severe acute pancreatitis admitted to the ICU of a tertiary referral center were reviewed. The criteria proposed by the World Society of the Abdominal Compartment Syndrome (WSACS) were used to determine whether patients had IAH or ACS.
Results
Fifty-nine patients with severe acute pancreatitis were identified. Intra-abdominal pressure (IAP) measurements were performed in 29 patients (49.2 %). IAH was present in all patients (29/29). ACS developed in 13/29 (44.8 %) patients. Ten patients with ACS underwent decompressive laparotomy. A large proportion of patients with ACS had intra-abdominal ischemia upon laparotomy: 8/13 (61.5 %). Mortality was high in both the ACS group and the IAH group.
Conclusion
This study confirms that ACS is common in severe acute pancreatitis. Intra-abdominal ischemia occurs in a large proportion of patients with ACS. Swift surgical intervention may be indicated when conservative measures fail in patients with ACS. National and international guidelines need to be updated so that routine IAP measurements become standard of care for patients with severe acute pancreatitis in the ICU.</description><subject>Abdominal Compartment Syndrome</subject><subject>Abdominal Surgery</subject><subject>Aged</subject><subject>Cardiac Surgery</subject><subject>Decompression, Surgical</subject><subject>Female</subject><subject>General Surgery</subject><subject>Humans</subject><subject>Intensive Care Unit</subject><subject>Intestines - blood supply</subject><subject>Intra-Abdominal Hypertension - etiology</subject><subject>Intra-Abdominal Hypertension - surgery</subject><subject>Ischemia - etiology</subject><subject>Laparotomy</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Multiple Organ Failure</subject><subject>Original Scientific Report</subject><subject>Pancreatitis</subject><subject>Pancreatitis - complications</subject><subject>Retrospective Studies</subject><subject>Severe Acute Pancreatitis</subject><subject>Surgery</subject><subject>Thoracic Surgery</subject><subject>Vascular Surgery</subject><issn>0364-2313</issn><issn>1432-2323</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqFkUGL1DAcxYMo7rj6AbxIwYuX6j9JkyYXYRxcHVlQGMVjSJN0J0ubjkm7y3x7U7oOqyB7SuD93uMlD6GXGN5igPpdAiBclIBZSakQZf0IrXBFSUkooY_RCiiv8h3TM_QspWsAXHPgT9FZdlGQIFeoXTd26H3QXbEZ-oOOY-_CWOyOwcahd4UOttiGMepSn8BtMnvXe134UHzTo8-GVNz6cV_s3I2LrlibaXRZCia6rI8-PUdPWt0l9-LuPEc_Lj5-33wuL79-2m7Wl6VhjMoSS6i0wKzFxplGEg1SYwdW4FZj3HLLOMWWNIzQxkhuW9pYzSQ1thaGWUvP0fsl9zA1vbPGzdU7dYi-1_GoBu3V30rwe3U13KhKcCE4yQFv7gLi8GtyaVS9T8Z1nQ5umJLCAggBjDl7GK2FrJmoYUZf_4NeD1PMf7lQuKp4JTOFF8rEIaXo2lNvDGoeXC2Dqzy4mgdXdfa8uv_gk-PPwhmQC3DrO3d8OFH9_LL7cAF1LWcvWbwp28KVi_dq_7fRb8ioyFI</recordid><startdate>201606</startdate><enddate>201606</enddate><creator>Smit, M.</creator><creator>Buddingh, K. T.</creator><creator>Bosma, B.</creator><creator>Nieuwenhuijs, V. B.</creator><creator>Hofker, H. S.</creator><creator>Zijlstra, J. G.</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>24P</scope><scope>WIN</scope><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>3V.</scope><scope>7QO</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>7U9</scope><scope>5PM</scope></search><sort><creationdate>201606</creationdate><title>Abdominal Compartment Syndrome and Intra-abdominal Ischemia in Patients with Severe Acute Pancreatitis</title><author>Smit, M. ; Buddingh, K. T. ; Bosma, B. ; Nieuwenhuijs, V. B. ; Hofker, H. S. ; Zijlstra, J. G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5539-1904a815f1cecb92a09a1e0d81fa11f6d5631d2b523bc96df3bda593cd78c5dd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Abdominal Compartment Syndrome</topic><topic>Abdominal Surgery</topic><topic>Aged</topic><topic>Cardiac Surgery</topic><topic>Decompression, Surgical</topic><topic>Female</topic><topic>General Surgery</topic><topic>Humans</topic><topic>Intensive Care Unit</topic><topic>Intestines - blood supply</topic><topic>Intra-Abdominal Hypertension - etiology</topic><topic>Intra-Abdominal Hypertension - surgery</topic><topic>Ischemia - etiology</topic><topic>Laparotomy</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Multiple Organ Failure</topic><topic>Original Scientific Report</topic><topic>Pancreatitis</topic><topic>Pancreatitis - complications</topic><topic>Retrospective Studies</topic><topic>Severe Acute Pancreatitis</topic><topic>Surgery</topic><topic>Thoracic Surgery</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Smit, M.</creatorcontrib><creatorcontrib>Buddingh, K. T.</creatorcontrib><creatorcontrib>Bosma, B.</creatorcontrib><creatorcontrib>Nieuwenhuijs, V. B.</creatorcontrib><creatorcontrib>Hofker, H. S.</creatorcontrib><creatorcontrib>Zijlstra, J. G.</creatorcontrib><collection>Springer Nature OA/Free Journals</collection><collection>Wiley Online Library (Open Access Collection)</collection><collection>Wiley Online Library (Open Access Collection)</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>Virology and AIDS Abstracts</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>World journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Smit, M.</au><au>Buddingh, K. T.</au><au>Bosma, B.</au><au>Nieuwenhuijs, V. B.</au><au>Hofker, H. S.</au><au>Zijlstra, J. G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Abdominal Compartment Syndrome and Intra-abdominal Ischemia in Patients with Severe Acute Pancreatitis</atitle><jtitle>World journal of surgery</jtitle><stitle>World J Surg</stitle><addtitle>World J Surg</addtitle><date>2016-06</date><risdate>2016</risdate><volume>40</volume><issue>6</issue><spage>1454</spage><epage>1461</epage><pages>1454-1461</pages><issn>0364-2313</issn><eissn>1432-2323</eissn><abstract>Introduction
Severe acute pancreatitis may be complicated by intra-abdominal hypertension (IAH), abdominal compartment syndrome (ACS), and intestinal ischemia. The aim of this retrospective study is to describe the incidence, treatment, and outcome of patients with severe acute pancreatitis and ACS, in particular the occurrence of intestinal ischemia.
Methods
The medical records of all patients admitted with severe acute pancreatitis admitted to the ICU of a tertiary referral center were reviewed. The criteria proposed by the World Society of the Abdominal Compartment Syndrome (WSACS) were used to determine whether patients had IAH or ACS.
Results
Fifty-nine patients with severe acute pancreatitis were identified. Intra-abdominal pressure (IAP) measurements were performed in 29 patients (49.2 %). IAH was present in all patients (29/29). ACS developed in 13/29 (44.8 %) patients. Ten patients with ACS underwent decompressive laparotomy. A large proportion of patients with ACS had intra-abdominal ischemia upon laparotomy: 8/13 (61.5 %). Mortality was high in both the ACS group and the IAH group.
Conclusion
This study confirms that ACS is common in severe acute pancreatitis. Intra-abdominal ischemia occurs in a large proportion of patients with ACS. Swift surgical intervention may be indicated when conservative measures fail in patients with ACS. National and international guidelines need to be updated so that routine IAP measurements become standard of care for patients with severe acute pancreatitis in the ICU.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>26830909</pmid><doi>10.1007/s00268-015-3388-7</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Abdominal Compartment Syndrome Abdominal Surgery Aged Cardiac Surgery Decompression, Surgical Female General Surgery Humans Intensive Care Unit Intestines - blood supply Intra-Abdominal Hypertension - etiology Intra-Abdominal Hypertension - surgery Ischemia - etiology Laparotomy Male Medicine Medicine & Public Health Middle Aged Multiple Organ Failure Original Scientific Report Pancreatitis Pancreatitis - complications Retrospective Studies Severe Acute Pancreatitis Surgery Thoracic Surgery Vascular Surgery |
title | Abdominal Compartment Syndrome and Intra-abdominal Ischemia in Patients with Severe Acute Pancreatitis |
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