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Related Experiment Videos

Pancreatic abscess: 10 years experience.

G Srikanth1, Sadiq S Sikora, Sanjay S Baijal

  • 1Department of Surgical Gastroenterology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.

ANZ Journal of Surgery
|December 18, 2002
PubMed
Summary

Pancreatic abscess, a rare complication of acute pancreatitis, can be lethal. Early diagnosis and intervention, particularly percutaneous catheter drainage (PCD), offer successful outcomes with lower mortality rates.

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Area of Science:

  • Gastroenterology
  • Interventional Radiology
  • Surgical Management

Background:

  • Secondary infections of pancreatic necrosis are a leading cause of mortality after acute pancreatitis.
  • Pancreatic abscess is a rare but serious complication compared to infected pancreatic necrosis.
  • Effective management strategies are crucial for improving patient outcomes.

Purpose of the Study:

  • To detail the clinical profile, investigations, and management strategies for pancreatic abscess.
  • To evaluate the roles of surgery and percutaneous catheter drainage (PCD) in managing pancreatic abscess.
  • To emphasize the successful outcomes of PCD in selected patients.

Main Methods:

  • Retrospective analysis of 21 patients with pancreatic abscess over 10 years.

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  • Management strategies included percutaneous intervention, surgery, and conservative treatment.
  • Computed tomography (CT) imaging was used for patient selection and guiding management.

    • Main Results:

    • Percutaneous management was suitable for 57% of patients and successful in 83.3%, with an 8.3% mortality rate.
    • Surgical therapy alone was used in 33% of patients, with an 85.7% success rate and 14.2% mortality.
    • Overall mortality was 9.5%; complications were noted in both percutaneous and surgical groups.

    Conclusions:

    • Pancreatic abscess is a potentially lethal complication requiring prompt intervention.
    • Early diagnosis and careful patient selection for surgical or percutaneous management are key to successful outcomes.
    • Surgery and PCD play complementary roles in managing pancreatic abscess.