Risk Factors for Readmissions in Patients Undergoing Endoscopic Drainage for Peripancreatic Fluid Collections.

Area of Science:

• Gastroenterology
• Endoscopic procedures
• Pancreatic diseases

Background:

• Pancreatic fluid collections (PFCs) frequently complicate acute pancreatitis.
• Endoscopic cystogastrostomy (EC) is a common treatment for PFCs.
• High rates of unplanned readmissions persist despite successful EC procedures.

Purpose of the Study:

• To evaluate readmission rates following EC for PFCs.
• To identify risk factors associated with unplanned readmissions after EC.

Main Methods:

• Retrospective review of 100 patients undergoing EC for symptomatic PFCs.
• Analysis of demographic, clinical, and procedural data.
• Logistic regression models to identify predictors of readmission.

Main Results:

• Clinical success achieved in 95% of patients; 31% experienced unplanned readmissions.
• Common readmission causes include sepsis, abdominal pain, and GI bleeding.
• Intra-abdominal varices identified as an independent predictor of readmission (OR 3.51).

Conclusions:

• Unplanned readmissions are a significant issue post-EC for PFCs.
• Intra-abdominal varices are a key risk factor for readmission.
• Enhanced follow-up and risk stratification are recommended to improve outcomes.