Infection recurrence following minimally invasive treatment in patients with infectious pancreatic necrosis  

作　　者：Chong-Chong Gao Jia Li Feng Cao Xiao-Hui Wang Ang Li Zhe Wang Fei Li 

机构地区：[1]Department of General Surgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,ChinaDepartment of General Surgery,Xuanwu Hospital,Capital Medical University,Beijing 100053,China

出　　处：《World Journal of Gastroenterology》2020年第22期3087-3097,共11页世界胃肠病学杂志（英文版）

基　　金：Supported by Beijing Municipal Science and Technology Commission,No.Z171100001017077;Beijing Municipal Administration of Hospitals Clinical Medicine Development of special funding support,No.XMLX201404;Construction Project of Advanced Clinical Medicine Discipline of Capital Medical University,No.1192070312.

摘　　要：BACKGROUND In recent decades,an increasing number of patients have received minimally invasive intervention for infected pancreatic necrosis(IPN)because of the benefits in reducing postoperative multiple organ failure and mortality.However,there are limited published data regarding infection recurrence after treatment of this patient population.AIM To investigate the incidence and prediction of infection recurrence following successful minimally invasive treatment in IPN patients.METHODS Medical records for 193 IPN patients,who underwent minimally invasive treatment between February 2014 and October 2018,were retrospectively reviewed.Patients,who survived after the treatment,were divided into two groups:one group with infection after drainage catheter removal and another group without infection.The morphological and clinical data were compared between the two groups.Significantly different variables were introduced into the correlation and multivariate logistic analysis to identify independent predictors for infection recurrence.Sensitivity and specificity for diagnostic performance were determined.RESULTS Of the 193 IPN patients,178 were recruited into the study.Of them,9(5.06%)patients died and 169 patients survived but infection recurred in 13 of 178 patients(7.30%)at 7(4-10)d after drainage catheters were removed.White blood cell(WBC)count,serum C-reactive protein(CRP),interleukin-6,and procalcitonin levels measured at the time of catheter removal were significantly higher in patients with infection than in those without(all P<0.05).In addition,drainage duration and length of the catheter measured by computerized tomography scan were significantly longer in patients with infection(P=0.025 and P<0.0001,respectively).Although these parameters all correlated positively with the incidence of infection(all P<0.05),only WBC,CRP,procalcitonin levels,and catheter length were identified as independent predictors for infection recurrence.The sensitivity and specificity for infection prediction were high in WBC count(�

关 键 词：Infectious pancreatic necrosis Drainage Minimally invasive intervention Infection recurrence C-reactive protein PROCALCITONIN 

分 类 号：R576[医药卫生—消化系统]