Percutaneous catheter drainage in combination with choledochoscope-guided debridement in treatment of peripancreatic infection  

作　　者：Tang, Li-Jun Wang, Tao Cui, Jian-Feng Zhang, Bing-Yin Li, Shi Li, Dong-Xuan Zhou, Shu 

机构地区：[1]Chengdu Gen Hosp, Chengdu Mil Area Command, Ctr Gen Surg, Chengdu 610083, Sichuan Prov, Peoples R China

出　　处：《World Journal of Gastroenterology》2010年第4期513-517,共5页世界胃肠病学杂志（英文版）

摘　　要：AIM:To introduce and evaluate the new method used in treatment of pancreatic and peripancreatic infections secondary to severe acute pancreatitis(SAP).METHODS:A total of 42 SAP patients initially underwent ultrasound-guided percutaneous puncture and catheterization.An 8-Fr drainage catheter was used to drain the infected peripancreatic necrotic foci for 3-5 d.The sinus tract of the drainage catheter was expanded gradually with a skin expander,and the 8-Fr drainage catheter was replaced with a 22-Fr drainage tube after 7-10 d.Choledochoscope-guided debridement was performed repeatedly until the infected peripancreatic tissue was effectively removed through the drainage sinus tract.RESULTS:Among the 42 patients,the infected peripancreatic tissue or abscess was completely removed from 38 patients and elective cyst-jejunum anastomosis was performed in 4 patients due to formation of pancreatic pseudocysts.No death and complication occurred during the procedure.CONCLUSION:Percutaneous catheter drainage in combination with choledochoscope-guided debridement is a simple,safe and reliable treatment procedure for peripancreatic infections secondary to SAP.AIM:To introduce and evaluate the new method used in treatment of pancreatic and peripancreatic infections secondary to severe acute pancreatitis(SAP).METHODS:A total of 42 SAP patients initially underwent ultrasound-guided percutaneous puncture and catheterization.An 8-Fr drainage catheter was used to drain the infected peripancreatic necrotic foci for 3-5 d.The sinus tract of the drainage catheter was expanded gradually with a skin expander,and the 8-Fr drainage catheter was replaced with a 22-Fr drainage...

关 键 词：Severe acute pancreatitis Peripancreatic infection Percutaneous catheter drainage CHOLEDOCHOSCOPE DEBRIDEMENT 

分 类 号：R657.5[医药卫生—外科学]