首页 | 本学科首页   官方微博 | 高级检索  
     


Complicated pancreatic abscesses: problems in interventional management
Authors:Steiner, E   Mueller, PR   Hahn, PF   Saini, S   Simeone, JF   Wittenberg, J   Warshaw, AL   Ferrucci, JT, Jr
Affiliation:Department of Radiology, Massachusetts General Hospital, Boston 02114.
Abstract:
Twenty-five patients with grade D or E pancreatitis underwent percutaneous drainage. These patients required multiple computed tomography (CT) examinations, multiple catheter insertions, multiple catheter manipulations, and long-term catheter drainage. Eight of the 25 patients were successfully treated with catheter drainage alone. Sixteen underwent surgical drainage, ten after attempts at percutaneous drainage and six prior to radiologic drainage. Of the ten patients who had initial percutaneous drainage, only four were clinically improved from the drainage procedure alone. Although the fluid component of the abscess was often adequately drained in all ten patients, surgery was required to remove pieces of necrotic debris. Six patients who underwent surgical debridement had residual abscesses in the post-operative period and were all successfully treated with percutaneous drainage. One patient died from unrelated causes. Successful interventional management of patients with pancreatic abscesses requires intensive radiologic intervention and monitoring and may be better served by a combination of radiologic and surgical means.
Keywords:
点击此处可从《Radiology》浏览原始摘要信息
点击此处可从《Radiology》下载全文
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号