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Updated: Jun 20, 2026

Retroperitoneal Laparoscopic Debridement and Drainage for Pancreatic Abscess
Published on: March 15, 2024
[Intraabdominal hypertension and abdominal compartment syndrome in patients with acute pancreatitis]
Mauricio de la Fuente-Lira1, Ernesto Cobos-González, Benjamín Gallo-Arriaga
1Servicio de Cirugía Gastrointestinal del Hospital de Especialidades Centro Médico Nacional Siglo XXI. IMSS México DF. delafuente1@hotmail.com
Background:
Intra-abdominal pressure rises in some circumstances and can cause abdominal compartment syndrome. Severe acute pancreatitis frequently causes abdominal compartment syndrome.
Objective:
Our objective was to identify the relationship between severity of pancreatitis and abdominal pressure.
Material And Methods:
From September 2001 to September 2002, all patients with acute severe pancreatitis were included in the study; exclusion was effected with history of abdominal surgery for pancreatitis or ventral hernias. In all patients, we carried out laboratory tests to establish ranson criteria, Apache II score, and indirect measurement of abdominal pressure. Lineal regression and chi-square test were done.
Results:
A total of 25 patients was included, 10 men and 15 women, average age 49.4 years, 11 with mild pancreatitis and 14 with severe acute pancreatitis. Abdominal pressure was 2 to 19 cm H2O. On statistic analysis, there was strong positive correlation between Apache II score and IAP and 0.781 of correlation coefficient and 99.5% confidence interval.
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