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[Pancreatic abscess. Extraperitoneal drainage].

F García Carrasco, C Gutiérrez Samperio, E A Ayala López

    Revista De Gastroenterologia De Mexico
    |January 1, 1989
    PubMed
    Summary
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    Extraperitoneal drainage effectively manages pancreatic abscesses, a complication of acute pancreatitis. This approach reduces severe complications and mortality, offering a safer alternative for patients.

    Area of Science:

    • Gastroenterology
    • Surgical Oncology
    • Infectious Diseases

    Context:

    • Pancreatic abscesses complicate acute pancreatitis, particularly severe forms, with high morbidity and mortality.
    • These abscesses often require intervention due to infection persistence or recurrence.
    • Previous surgeries are common in patients presenting with pancreatic abscesses.

    Purpose:

    • To evaluate the efficacy and safety of extraperitoneal drainage for pancreatic abscesses.
    • To assess the outcomes and complications associated with this surgical approach.
    • To determine if extraperitoneal drainage can minimize peritoneal contamination and postoperative issues.

    Summary:

    • A study involving 12 patients (7 male, 5 female, average age 36) with pancreatic abscesses treated via extraperitoneal drainage.

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  • Common symptoms included fever, abdominal pain, and palpable masses; diagnostic imaging like CAT scans were crucial for localization.
  • The extraperitoneal approach (anterior or posterior) was employed, with most patients experiencing complications managed conservatively. Overall mortality was 17%.

    • Impact:

    • Extraperitoneal drainage is presented as a viable strategy for managing pancreatic abscesses.
    • This method helps prevent peritoneal contamination, potentially reducing severe postoperative complications.
    • The study suggests improved patient outcomes by avoiding direct peritoneal involvement during abscess management.