Advertisement

Necrosectomy for Severe Acute Pancreatitis

  • A. Leppäniemi
Conference paper

Abstract

Acute pancreatitis is encountered in about 3% of hospital admissions for acute abdominal pain [1]. There is great variation in the incidence of acute pancreatitis ranging from 10 and 15 per 100 000 inhabitants/year in the United Kingdom and Germany, respectively [2–4], up to 80 per 100 000 in the United States [5]. In Finland, an increase in the incidence from 47 to 73 per 100 000 inhabitants/year was noted from 1970 to 1989 [6].

Keywords

Acute Pancreatitis Severe Acute Pancreatitis Pancreatic Resection Abdominal Compartment Syndrome Necrotizing Pancreatitis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Banerjee A, Kaul A, Bache E, Parberry A, Doran J, Nicholson M (1994) Multicentre audit of death from acute pancreatitis. Br J Surg 81: 1541PubMedCrossRefGoogle Scholar
  2. 2.
    Corfield A, Cooper M, Williamson R (1985) Acute pancreatitis: a lethal disease of increasing incidence. Gut 26: 724–729PubMedCrossRefGoogle Scholar
  3. 3.
    Giggs J, Bourke J, Katschinski B (1988) The epidemiology of primary acute pancreatitis in Greater Nottingham: 1969–1983. Soc Sci Med 26: 79–89PubMedCrossRefGoogle Scholar
  4. 4.
    Assmus C, Petersen M, Gottesleben F, Druke M, Lankisch P (1996) Epidemiology of acute pancreatitis in a defined German population. Digestion 57: A217 (abst)Google Scholar
  5. 5.
    Lankisch P (1999) Epidemiology in acute pancreatitis. In: Buchler M, Uhl W, Friess H, Malfertheimer P (eds) Acute Pancreatitis, Novel Concepts in Biology and Treatment. Blackwell Wissenschafts-Verlag, Berlin, pp 145–153Google Scholar
  6. 6.
    Jaakkola M, Nordback I (1993) Pancreatitis in Finland between 1970 and 1989. Gut 34: 1255–1260PubMedCrossRefGoogle Scholar
  7. 7.
    Karne S, Gorelick F (1999) Etiopathogenesis of acute pancreatitis. Surg Clin North Am 79: 699–710PubMedCrossRefGoogle Scholar
  8. 8.
    Leese T, Shaw D, Holliday M (1988) Prognostic markers in acute pancreatitis: can pancreatic necrosis be predicted? Ann R Coll Surg Engl 70: 227–232PubMedGoogle Scholar
  9. 9.
    Steinberg W, Tenner S (1994) Acute pancreatitis. N Engl J Med 330: 1198–1210PubMedCrossRefGoogle Scholar
  10. 10.
    Moynihan B (1925) Acute pancreatitis. Ann Surg 81: 132–142PubMedCrossRefGoogle Scholar
  11. 11.
    Singer MV, Gyr K, Sarles H (1985) Revised classification of pancreatitis. Gastroenterology 89: 683–685PubMedGoogle Scholar
  12. 12.
    Sarles H, Adler G, Dani R, et al (1989) The pancreatitis classification of Marseilles-Rome 1988. Scand J Gastroenterol 24: 641–642PubMedCrossRefGoogle Scholar
  13. 13.
    Bradley III EL (1993) A clinically based classification system for acute pancreatitis. Summary of the International Symposium on Acute Pancreatitis, Atlanta, GA, September 11 through 13, 1992. Arch Surg 128: 586–590Google Scholar
  14. 14.
    Beger HG, Rau B, Mayer J, Pralle U (1997) Natural course of acute pancreatitis. World J Surg 21: 130–135PubMedCrossRefGoogle Scholar
  15. 15.
    Wilson P, Manji M, Neoptolemos J (1998) Acute pancreatitis as a model of sepsis. J Antimikrob Chemother 41: 51–63CrossRefGoogle Scholar
  16. 16.
    Neoptolemos J, Raraty M, Finch M, Sutton R (1998) Acute pancreatitis: the substantial human and financial costs. Gut 42: 886–891PubMedCrossRefGoogle Scholar
  17. 17.
    Bank S, Singh P, Pooran N, Stark B (2002) Evaluation of factors that have reduced mortality from acute pancreatitis over the past 20 years. J Clin Gastroenterol 35: 50–60PubMedCrossRefGoogle Scholar
  18. 18.
    Beger HG, Rau B, Isenmann R, Mayer J (1998) Surgical treatment of acute pancreatitis. Ann Chir Gynaecol 87: 183–189PubMedGoogle Scholar
  19. 19.
    Halonen KI, Leppäniemi AK, Puolakkainen PA, et al (2000) Severe acute pancreatitis: prognostic factors in 270 consecutive patients. Pancreas 21: 266–271PubMedCrossRefGoogle Scholar
  20. 20.
    Kivilaakso E, Fräki O, Nikki P, Lempinen M (1981) Resection of the pancreas for acute fulminant pancreatitis. Surg Gynecol Obstet 152: 493–498PubMedGoogle Scholar
  21. 21.
    Kivilaakso E, Lempinen M, Mäkeläinen A, Nikki P, Schröder T (1984) Pancreatic resection versus peritoneal lavation for acute fulminant pancreatitis. A randomized prospective study. Ann Surg 199: 426–432Google Scholar
  22. 22.
    Schröder T, Sainio V, Kivisaari L, Puolakkainen P, Kivilaakso E, Lempinen M (1991) Pancreatic resection versus peritoneal lavage in acute necrotizing pancreatitis. A prospective randomized trial. Ann Surg 214: 663–666Google Scholar
  23. 23.
    Gambiez LP, Denimal FA, Porte HL, Saudemont A, Chambon J-P, Quandalle PA (1998) Retroperitoneal approach and endoscopic management of peripancreatic necrosis collections. Arch Surg 133: 66–72PubMedCrossRefGoogle Scholar
  24. 24.
    Carter CR, McKay CJ, Imrie CW (2000) Percutaneous necrosectomy and sinus tract endoscopy in the management of infected pancreatic necrosis: an initial experience. Ann Surg 232: 175–180PubMedCrossRefGoogle Scholar
  25. 25.
    Beger HG, Buchler M, Bittner R, Block S, Nevalainen T, Roscher R (1988) Necrosectomy and post-operative local lavage in necrotizing pancreatitis. Br J Surg 75: 207–212PubMedCrossRefGoogle Scholar
  26. 26.
    Bradley III EL, Allen K (1991) A prospective longitudinal study of observation versus surgical intervention in the management of necrotizing pancreatitis. Am J Surg 161: 19–25PubMedCrossRefGoogle Scholar
  27. 27.
    Karimgani I, Porter KA, Langevin RE, Banks PA (1992) Prognostic factors in sterile pancreatic necrosis. Gastroenterology 103: 1636–1640PubMedGoogle Scholar
  28. 28.
    Buchler MW, Bloor B, Muller CA, Friess H, Seiler CA, Uhl W (2000) Acute necrotizing pancreatitis: treatment strategy according to the status of infection. Ann Surg 232: 619–626PubMedCrossRefGoogle Scholar
  29. 29.
    Rau B, Pralle J, Mayer M, Beger HG (1998) Role of ultrasonographically guided fine-needle aspiration cytology in the diagnosis of infected pancreatic necrosis. Br J Surg 85: 179–184PubMedCrossRefGoogle Scholar
  30. 30.
    Warshaw AL (2000) Pancreatic necrosis. To debride or not to debride–that is the question. Ann Surg 232: 627–629PubMedCrossRefGoogle Scholar
  31. 31.
    Rau B, Pralle U, Uhl W, Schoenberg MH, Beger HG (1995) Management of sterile necrosis in instances of severe acute pancreatitis. J Am Coll Surg 181: 279–288PubMedGoogle Scholar
  32. 32.
    Buter A, Imrie CW, Carter CR, Evans S, McKay CJ (2002) Dynamic nature of early organ dysfunction determines outcome in acute pancreatitis. Br J Surg 89: 298–302PubMedCrossRefGoogle Scholar
  33. 33.
    Farkas G, Marton J, Mandi Y, Szederkenyi E (1996) Surgical strategy and management of infected pancreatic necrosis. Br J Surg 83: 930–933PubMedCrossRefGoogle Scholar
  34. 34.
    Fernandez-del Castillo C, Rattner DW, Makary MA, Mostafavi A, McGrath D, Warshaw AL (1998) Debridement and closed packing for the treatment of necrotizing pancreatitis. Ann Surg 228: 676–684CrossRefGoogle Scholar
  35. 35.
    Mier J, Luque-de Leon E, Castillo A, Robledo F, Blanco R (1997) Early versus late necrosectomy in severe necrotizing pancreatitis. Am J Surg 173: 71–75PubMedCrossRefGoogle Scholar
  36. 36.
    Hungness ES, Robb BW, Seeskin C, Hasselgren P-O, Luchette FA (2002) Early debridement for necrotizing pancreatitis: is it worthwhile? J Am Coll Surg 194: 740–745PubMedCrossRefGoogle Scholar
  37. 37.
    Tsiotos GG, Luque-de Leon E, Söreide JA, et al (1998) Management of necrotizing pancreatitis by repeated operative necrosectomy using a zipper technique. Am J Surg 175: 91–98PubMedCrossRefGoogle Scholar
  38. 38.
    van Goor H, Sluite WJ, Bleichrodt RP (1997) Early and long term results of necrosectomy and planned re-exploration for infected pancreatic necrosis. Eur J Surg 163: 611–618PubMedGoogle Scholar
  39. 39.
    Bosscha K, Hulstaert PF, Hennipman A, et al (1998) Fulminant acute pancreatitis and infected necrosis: results of open management of the abdomen and “planned” re-operations. J Am Coll Surg 187: 255–262PubMedCrossRefGoogle Scholar
  40. 40.
    Fugger R, Götzinger P, Sautner T, et al (1995) Necrosectomy and laparostomy–a combined therapeutic concept in acute necrotizing pancreatitis. Eur J Surg 161: 103–107PubMedGoogle Scholar
  41. 41.
    Bradley III EL (1987) Management of infected pancreatic necrosis by open drainage. Ann Surg 206: 542–550PubMedCrossRefGoogle Scholar
  42. 42.
    Paye F, Frileux P, Lehman P, 011ivier J-M, Vaillant JC, Parc R (1999) Re-operation for severe pancreatitis. A 10-year experience in a tertiary care center. Arch Surg 134: 316–320PubMedCrossRefGoogle Scholar
  43. 43.
    Kasperk R, Riesener K-P, Schumpelick V (1999) Surgical therapy of severe acute pancreatitis: a flexible approach gives excellent results. Hepatogastroenterology 46: 467–471PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2003

Authors and Affiliations

  • A. Leppäniemi

There are no affiliations available

Personalised recommendations