Acute Pancreatic Fluid Collection, Acute Pancreatitis
Conditions
Keywords
severe acute pancreatitis, acute fluid collection, catheter drainage, repeated aspiration
Brief summary
Acute fluid collections is common in patients with severe acute pancreatitis (SAP). But the treatment for this is controversial. In this study, the investigators aim to evaluate the different effects of three different treatment protocols which is repeated aspiration, continuous catheter drainage and conservative treatment. The investigators suppose repeated aspiration could not only solve acute fluid collections, but also lower the rate of pancreatic infection.
Interventions
Including antibiotics,somatostatin, proton pump inhibitors and sufficient fluid resuscitation
Sponsors
Study design
Eligibility
Inclusion criteria
* Symptoms and signs of acute pancreatitis according to Atlanta criteria and if pancreatic or/and peripancreatic fluid collections were confirmed by ultrasound and computed tomography examination * CT density \< 30Hu * Within 7 days from the onset of the disease * Available approach for percutaneous penetrate
Exclusion criteria
* Pregnant pancreatitis * Receiving surgery or aspiration before;need of early surgery * Infected fluid collection
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| pancreatic infection | 28 days |
| mortality | 28 days |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| complications | 28 days | intestinal fistula , major bleeding, etc. |
| ICU duration | day one until discharge | — |
| inflammation parameters | 28 days | — |
| SIRS | 28 days | — |
| MODS | 28 days | — |
| hospital duration | day one until discharge | — |
| intra abdominal pressure | 28 days | — |
Countries
China