Abstract | OBJECTIVE: MATERIALS AND METHODS: RESULTS: Sixteen (47%) of the 34 patients were cured with only percutaneous catheter drainage, including four (29%) of the 14 patients with central gland necrosis and 12 (60%) of the 20 with body-tail necrosis. Sepsis was controlled (defervescence of fever and return of WBC to normal) in an additional nine patients, allowing elective pancreatic surgery for control of pancreatic duct fistula. Eight patients failed to show clinical improvement after drainage and required necrosectomy. No patient experienced catheter-related complications. Mortality was 12% (all four deaths occurred after necrosectomy because of multiorgan failure). CONCLUSION:
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Authors | P C Freeny, E Hauptmann, S J Althaus, L W Traverso, M Sinanan |
Journal | AJR. American journal of roentgenology
(AJR Am J Roentgenol)
Vol. 170
Issue 4
Pg. 969-75
(Apr 1998)
ISSN: 0361-803X [Print] United States |
PMID | 9530046
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Topics |
- Adult
- Aged
- Bacterial Infections
(complications, diagnostic imaging, therapy)
- Catheterization
(methods)
- Drainage
(methods)
- Female
- Humans
- Male
- Middle Aged
- Pancreatitis, Acute Necrotizing
(diagnostic imaging, microbiology, therapy)
- Radiography, Interventional
- Tomography, X-Ray Computed
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