Pankreatik abse tedavisi: BT-kılavuzluğunda perkütan drenaj

Objective & Hypothesis:The aim of this study was to assess patient selection and efficacy of percutaneous drainage for the treatment of pancreatic abscesses.

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Key Findings & Data:Methods:Percutaneous drainage under computerized tomography-guidance was performed on 10 patients who ranged in age from 28 to 72 years during a four study period.

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Conclusion & Impact:Patient selection, adequate drainage technique, and proper follow-up of the patients play an important role in the result of the d rainage.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Apse · Drenaj · Pankreas hastalıkları

Abstract

The aim of this study was to assess patient selection and efficacy of percutaneous drainage for the treatment of pancreatic abscesses. Methods:Percutaneous drainage under computerized tomography-guidance was performed on 10 patients who ranged in age from 28 to 72 years during a four study period. All patients had pancreatic abscesses. Patients with pancreatic pseudocysts, necrosis, or acute fluid collections were excluded from the study.Results:All patients were cured with percutaneous drainage without surgery. Twenty catheters were used and 30 catheter manipulations were required. The duration of catheterization ranged from 15 to 122 days, with a mean duration of 32 days. No procedure or catheter-related complications, such as bleeding or septicemia, occurred.Conclusions:Percutaneous drainage is a safe and valuable procedure in the treatment of patients with pancreatic abscesses. Patient selection, adequate drainage technique, and proper follow-up of the patients play an important role in the result of the d rainage.

Özet

Bu çalışmanın amacı pankreatik abselerin tedavisinde perkütan drenajın etkinliğinin ve hasta seçiminin değerlendirilmesidir. Yöntem: BT kılavuzluğunda perkütan drenaj, 4 yıllık çalışma döneminde, yaşları 28 ile 72 arasında değişen 10 hastaya uygulandı. Pankreatik psödokist, nekroz, veya akut sıvı kolleksiyonları çalışma dışı bırakıldı.Bulgular:Olguların hepsi cerrahi müdahale gerekmeksizin tedavi edildi. Toplam 20 adet kateter ve 30 kateter manipulasyonuna ihtiyaç duyuldu. Kateterizasyon süresi ortalama 32 gün ile 15 - 122 gün idi. Kanama veya septisemi gibi, işleme veya katetere bağlı bir komplikasyon görülmedi. Sonuç:Pankreatik abseli hastaların tedavisinde perkütan drenaj güvenli ve değerli bir tedavi yöntemidir. Hasta seçimi, yeterli drenaj tekniği ve hastaların uygun şekilde takibi, drenaj başarısında önemli rol oynadı.

Keywords

Apse Drenaj Pankreas hastalıkları Tomografi x-ışınlı bilgisayarlı Kateterizasyon Abscess Drainage Pancreatic Diseases Tomography X-Ray Computed Catheterization

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Cite This Article

MİHMANLI, İ., CANTAŞDEMİR, M., YILMAZ, M. H., KANTARCI, F., NUMAN, F., ERGÜNEY, S. (2000). Pankreatik abse tedavisi: BT-kılavuzluğunda perkütan drenaj. Turkish Journal of Gastroenterology, Cilt: 11 - Sayı: 4, 315–319. https://ajindex.com/articles/411274

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