Predicting Success of Catheter Drainage in Infected Necrotizing Pancreatitis

Annals of Surgery
Robbert A HollemansDutch Pancreatitis Study Group

Abstract

At least 30% of patients with infected necrotizing pancreatitis are successfully treated with catheter drainage alone. It is currently not possible to predict which patients also need necrosectomy. We evaluated predictive factors for successful catheter drainage. This was a post hoc analysis of 130 prospectively included patients undergoing catheter drainage for (suspected) infected necrotizing pancreatitis. Using logistic regression, we evaluated the association between success of catheter drainage (ie, survival without necrosectomy) and 22 factors regarding demographics, disease severity (eg, Acute Physiology And Chronic Health Evaluation II score, organ failure), and morphologic characteristics on computed tomography (eg, percentage of necrosis). Catheter drainage was performed percutaneously in 113 patients and endoscopically in 17 patients. Infected necrosis was confirmed in 116 patients (89%). Catheter drainage was successful in 45 patients (35%). In multivariable regression, the following factors were associated with a reduced chance of success: male sex [odds ratio (OR) = 0.27; 95% confidence interval (CI): 0.09-0.55; P <0.01), multiple organ failure (OR = 0.15; 95% CI: 0.04-0.62; P < 0.01), percentage of pancreatic nec...Continue Reading

References

Feb 1, 1990·Radiology·E J BalthazarJ H Ranson
Oct 1, 1985·Critical Care Medicine·W A KnausJ E Zimmerman
Apr 8, 1998·AJR. American Journal of Roentgenology·P C FreenyM Sinanan
Feb 25, 2005·AJR. American Journal of Roentgenology·Gladwin C HuiBairbre Connolly
Mar 8, 2005·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·L William Traverso, Richard A Kozarek
Oct 13, 2006·The American Journal of Gastroenterology·Peter A BanksUNKNOWN Practice Parameters Committee of the American College of Gastroenterology
May 16, 2007·Abdominal Imaging·Dmitri SegalStuart G Silverman
May 25, 2007·Annals of Surgery·Georgios I PapachristouTodd H Baron
Dec 19, 2007·Archives of Surgery·Marc G H BesselinkHein G Gooszen
Feb 19, 2008·Lancet·Marc Gh BesselinkUNKNOWN Dutch Acute Pancreatitis Study Group
Mar 12, 2008·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·H C van SantvoortUNKNOWN Dutch Acute Pancreatis Study Group
Apr 23, 2010·The New England Journal of Medicine·Hjalmar C van SantvoortUNKNOWN Dutch Pancreatitis Study Group
Dec 8, 2010·The British Journal of Surgery·M C van BaalUNKNOWN Dutch Pancreatitis Study Group
May 3, 2011·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Marc G H Besselink
Jul 12, 2011·Gastroenterology·Hjalmar C van SantvoortUNKNOWN Dutch Pancreatitis Study Group
Dec 22, 2011·The American Journal of Gastroenterology·Thomas L BollenKoenraad J Mortele
May 23, 2012·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Sandra van BrunschotUNKNOWN Dutch Pancreatitis Study Group
Sep 13, 2012·Annals of Surgery·Raghavendra Yalakanti BabuRajinder Singh
Oct 27, 2012·Gut·Peter A BanksUNKNOWN Acute Pancreatitis Classification Working Group
Sep 27, 2013·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·UNKNOWN Working Group IAP/APA Acute Pancreatitis Guidelines

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Citations

Apr 17, 2016·Pancreatology : Official Journal of the International Association of Pancreatology (IAP) ... [et Al.]·Ang LiFei Li
Feb 15, 2017·Pancreas·Janneke van GrinsvenUNKNOWN Dutch Pancreatitis Study Group
Oct 12, 2017·Revista do Colégio Brasileiro de Cirurgiões·Roberto RasslanSamir Rasslan
Mar 30, 2019·The American Journal of Gastroenterology·Guru TrikudanathanShawn Mallery
Jun 20, 2020·Zentralblatt für Chirurgie·Olga Radulova-MauersbergerHelmut Witzigmann
Mar 15, 2016·World Journal of Gastroenterology : WJG·Ai-Lin WeiZhao-Da Zhang
Mar 16, 2017·Journal of Gastroenterology and Hepatology·John A WindsorAnthony Rj Phillips
May 13, 2018·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Janneke van GrinsvenUNKNOWN Dutch Pancreatitis Study Group
May 29, 2019·Scandinavian Journal of Gastroenterology·Dingcheng ShenZhiyong Liu
Feb 7, 2020·Digestive Diseases and Sciences·Pankaj GuptaRakesh Kochhar
Mar 19, 2020·World Journal of Emergency Surgery : WJES·Henrik Leonard HusuPanu Juhani Mentula
Jun 19, 2019·Pancreas·F Jasmijn SmitsUNKNOWN Dutch Pancreatic Cancer Group
Feb 1, 2020·Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology·Amar MukundShiv Kumar Sarin
Oct 4, 2018·The American Journal of Gastroenterology·Guru TrikudanathanShawn Mallery
Nov 26, 2020·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Anupam K SinghRakesh Kochhar

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