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PurposeAcute pancreatitis is one of the most common gastrointestinal diseases. Approximately 20% of the patients develop peripancreatic collections. Step-up management it’s now the best approach with less rate of morbidity and mortality compared with open or minimally invasive surgery. Percutaneous management could reach a success rate between 50-76%. Our study shows the outcomes of trans-gastric versus transabdominal percutaneous drainage in cases of peripancreatic collections. MethodsA retrospective review of a prospectively collected database was conducted. All the patients older than 18 years old that underwent percutaneous drainage between January 2010 – December 2021 were included. Analysis and description of outcomes such as mortality, complications, and avoidance of surgical procedures was performed.Results18 patients underwent percutaneous drainage. 66.67% of patients were male. Mean age was 52.55 ± 22.06 years. Mean weight was 74.43 ± 15.25 kg. Mean size of peripancreatic collections 118.4 ± 49.12mm. Wall-off necrosis was present in 33.33%. Trans-gastric approach was performed in 50% of the cases, the rest was trans-abdominal. No mortality was evidenced after 30 days of follow up. After trans-gastric percutaneous drainage, all patients avoided surgical open or laparoscopic procedureConclusionStandardized step-up approach shows increased rates of success in percutaneous drainage of peripancreatic collections. Based on our results, in the absence of interventionist endoscopy, percutaneous drainage (trans gastric or trans-abdominal) it’s a feasible and secure procedure. Further studies are needed. |
