Articles Vol. 65 No. 3 06/05/2024

31. STUDY ON CLINICAL AND PARACLINICAL FEATURES OF NECROTIZING PANCREASITIS TREATED WITH PERCUTANEOUS DRAINAGE

Huynh Thanh Long1,2,3,4, Vo Van Hung5,6, Nguyen Hoang Van7,8, Nguyen Manh Khiem2,4
1 Nguyen Tat Thanh University
2 Nguyen Tri Phuong Hospital
3 Trường ĐH Nguyễn Tất Thành
4 Bệnh viện Nguyễn Tri Phương
5 Binh Dan Hospital
6 Bệnh viện Bình Dân
7 7A Hospital
8 Bệnh viện 7A
Corresponding author: bs.huynhlong1967@gmail.com
DOI: 10.52163/yhc.v65i3.1082
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Keywords
Acute pancreatitis, Necrotizing pancreatitis, Percutaneous drainage.
Abstract

Background: Necrotizing pancreatitis is a severe, death-threatening clinical form of acute pancreatitis. The current concept of treatment for necrotizing pancreatitis has changed. Treatment of necrotizing pancreatitis with percutaneous drainage intervention is gradually being applied at large centers.

Objective: This study describes the clinical and paraclinical characteristics of necrotizing pancreatitis treated with percutaneous drainage.

Subjects and methods: Retrospective descriptive study of cases diagnosed with necrotizing pancreatitis that were treated with percutaneous drainage at Binh Dan Hospital from October 2019 to September 2022.

Results: There were 36 cases of necrotizing pancreatitis treated with percutaneous drainage that met the sampling criteria with the following characteristics: 26 male patients (72.22%) and 10 female patients (27.78%); On average, 46.31 ± 14.01 years old, the group under 50 years old accounts for the majority (63.87%), with a history of pancreatitis accounting for the highest proportion (44.4%). The main reason for hospitalization is abdominal pain, accounting for 58.33%. Symptoms include vomiting and fever, accounting for 58.33%. There were 3 patients with severe symptoms, accounting for 8.33%. The rate of organ failure when hospitalized in the first 48 hours is high, accounting for 39%. The average blood amylase was 528.89 ± 528.87 U/L. Balthazar score: Grade E accounts for 93.75%, Grade D accounts for 6.25%.

Conclusion: Most cases of necrotizing pancreatitis treated with percutaneous drainage are more common in men than in women. MSCT scan is a necessary tool to diagnose necrotizing pancreatitis and plays an important role in indicating percutaneous drainage intervention.

References
[1]
Copelin E, Widmer J, Management of severe Google Scholar
[2]
acute pancreatitis in 2019. Translational Google Scholar
[3]
gastroenterology and hepatology, 2022;7:16. Google Scholar
[4]
doi:10.21037/tgh-2020-08 Google Scholar
[5]
Gliem N, Ammer-Herrmenau C, Ellenrieder V Google Scholar
[6]
et al., Management of Severe Acute Pancreatitis: Google Scholar
[7]
An Update. Digestion, 2021;102(4):503-507. Google Scholar
[8]
doi:10.1159/000506830 Google Scholar
[9]
Leppäniemi A, Tolonen M, Tarasconi A et al., Google Scholar
[10]
WSES guidelines for the management Google Scholar
[11]
of severe acute pancreatitis. World journal Google Scholar
[12]
of emergency surgery : WJES, 2019;14:27. Google Scholar
[13]
doi:10.1186/s13017-019-0247-0 Google Scholar
[14]
Đặng Trường Thái, Đặc điểm lâm sàng, cận lâm Google Scholar
[15]
sàng và kết quả điều trị Viêm tụy hoại tử. Luận Google Scholar
[16]
Văn Chuyên Khoa Cấp II, Đại học Y Dược Tp Google Scholar
[17]
Hồ Chí Minh; 2020. Google Scholar
[18]
Lê Phúc Trường Thịnh, Tạ Văn Trầm, Nghiên Google Scholar
[19]
cứu đặc điểm lâm sàng, cận lâm sàng và điều trị Google Scholar
[20]
viêm tụy cấp tại Bệnh viện đa khoa Trung Tâm Google Scholar
[21]
Tiền Giang. Y học Thành phố Hồ Chí Minh, Google Scholar
[22]
; Phụ Bản Tập 22(Số 5):33-38. Google Scholar
[23]
Võ Duy Thông, Nguyễn Thị Mộng Trinh, Hồ Tấn Google Scholar
[24]
Phát, Tăng Trirelycerie máu rất nặng ở bệnh nhân Google Scholar
[25]
viêm tụy cấp: yếu tố nguy cơ và kết cục lâm sàng. Google Scholar
[26]
Tạp chí Y học Việt Nam, 2021; 500(2):49-55. Google Scholar
[27]
Van Santvoort HC, Bakker OJ, Bollen TL et al., Google Scholar
[28]
A conservative and minimally invasive approach Google Scholar
[29]
to necrotizing pancreatitis improves outcome. Google Scholar
[30]
Gastroenterology. Oct 2011;141(4):1254-63. Google Scholar
[31]
doi:10.1053/j.gastro.2011.06.073 Google Scholar
[32]
Schepers NJ, Bakker OJ, Besselink MG et al., Google Scholar
[33]
Impact of characteristics of organ failure and Google Scholar
[34]
infected necrosis on mortality in necrotising Google Scholar
[35]
pancreatitis. Gut. Jun 2019;68(6):1044-1051. Google Scholar
[36]
doi:10.1136/gutjnl-2017-314657 Google Scholar
[37]
Taydas O, Unal E, Karaosmanoglu AD et al., Google Scholar
[38]
Accuracy of early CT findings for predicting Google Scholar
[39]
disease course in patients with acute pancreatitis. Google Scholar
[40]
Japanese journal of radiology. Feb 2018;36(2):151- Google Scholar
[41]
doi:10.1007/s11604-017-0709-9 Google Scholar
[42]
Đỗ Đức Cường, Nghiên cứu vai trò của chụp cắt Google Scholar
[43]
lớp vi tính 320 dãy trong chẩn đoán viêm tụy Google Scholar
[44]
cấp. Luận văn Chuyên khoa cấp II, Đại học Y Google Scholar
[45]
Dược Tp Hồ Chí Minh, 2016. Google Scholar