Drainage of pancreatic fluid collections in acute pancreatitis:A comprehensive overview  

作　　者：Akash Bansal Pankaj Gupta Anupam K Singh Jimil Shah Jayanta Samanta Harshal S Mandavdhare Vishal Sharma Saroj Kant Sinha Usha Dutta Manavjit Singh Sandhu Rakesh Kochhar 

机构地区：[1]Department of Radiodiagnosis,Postgraduate Institute of Medical Education and Research,Chandigarh 160012,India [2]Department of Gastroenterology,Postgraduate Institute of Medical Education and Research,Chandigarh 160012,India

出　　处：《World Journal of Clinical Cases》2022年第20期6769-6783,共15页世界临床病例杂志

摘　　要：Moderately severe and severe acute pancreatitis is characterized by local and systemic complications.Systemic complications predominate the early phase of acute pancreatitis while local complications are important in the late phase of the disease.Necrotic fluid collections represent the most important local complication.Drainage of these collections is indicated in the setting of infection,persistent or new onset organ failure,compressive or pressure symptoms,and intraabdominal hypertension.Percutaneous,endoscopic,and minimally invasive surgical drainage represents the various methods of drainage with each having its own advantages and disadvantages.These methods are often complementary.In this minireview,we discuss the indications,timing,and techniques of drainage of pancreatic fluid collections with focus on percutaneous catheter drainage.We also discuss the novel methods and techniques to improve the outcomes of percutaneous catheter drainage.

关 键 词：Pancreatitis Acute necrotizing Drainage CATHETERS STENTS Therapeutic irrigation DEBRIDEMENT COLLECTIONS 

分 类 号：R576[医药卫生—消化系统]