acute pancreatitis
Conditions
Interventions
B:percutaneous endoscopic necrosectomy
Sponsors
The First Affiliated Hospital of Naval Medical University
Eligibility
Sex/Gender
All
Age
18 Years to 70 Years
Inclusion criteria
Inclusion criteria: 1) Age: 18-70 years old, male or female 2) The patient was diagnosed as acute pancreatitis complicated with peripancreatic infection (according to the Chinese guidelines for the diagnosis and treatment of acute pancreatitis (2019, Shenyang)). Pus accumulated in the pancreas or around the pancreas, and the peripheral wall was fibrous capsule. Enhanced CT showed bubble sign. The fine needle aspiration was positive for bacterial or fungal culture. 3) Pancreatic abscess has a percutaneous puncture path on CT, which can be used in patients with PCD.
Exclusion criteria
Exclusion criteria: 1) The patients could not tolerate anesthesia or vital signs could not accept percutaneous endoscopic debridement; 2) Coagulation mechanism is abnormal, there is a risk of intraoperative bleeding; 3) Emergency surgical debridement is needed; 4) Endoscopic debridement was performed via stomach; 5) Those who have received other minimally invasive interventional therapy for IPN; 6) The patients were lost to follow-up after operation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The time taken to reduce the necrotic cavity by half;Time for complete closure of necrotic cavity; Cure rate of peripancreatic abscess;Length of stay; | — |
Secondary
| Measure | Time frame |
|---|---|
| Conversion rate to open surgery;Mortality;Incidence of organ failure;Incidence of complications;PEN times;Medical expenses; | — |
Countries
China
Contacts
Public ContactYanBo Zeng
The First Affiliated Hospital of Naval Medical University
Outcome results
None listed