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Natural History of Intra-abdominal Fluid Collections Following Pancreatic Surgery
BACKGROUND: Little data are available for non-abscess abdominal fluid collections (AFCs) after pancreatic surgery and their clinical implications. We sought to analyze the natural history of such collections in a population of patients subject to routine postoperative imaging. METHODS: From 1995 to...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3709084/ https://www.ncbi.nlm.nih.gov/pubmed/23715649 http://dx.doi.org/10.1007/s11605-013-2234-1 |
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author | Sierzega, Marek Kulig, Piotr Kolodziejczyk, Piotr Kulig, Jan |
author_facet | Sierzega, Marek Kulig, Piotr Kolodziejczyk, Piotr Kulig, Jan |
author_sort | Sierzega, Marek |
collection | PubMed |
description | BACKGROUND: Little data are available for non-abscess abdominal fluid collections (AFCs) after pancreatic surgery and their clinical implications. We sought to analyze the natural history of such collections in a population of patients subject to routine postoperative imaging. METHODS: From 1995 to 2011, 709 patients underwent pancreatic resections and routine postoperative monitoring with abdominal ultrasound according to a unit protocol. AFCs were classified as asymptomatic (no interventional treatment), symptomatic (need for percutaneous drainage of sterile, amylase-poor fluid), and pancreatic fistula (drainage of amylase-rich fluid). RESULTS: Ninety-seven of 149 AFCs (65 %) were asymptomatic and resolved spontaneously after a median follow-up of 22 days (interquartile range, 9–52 days). Among 52 (35 %) AFCs requiring percutaneous drainage, there were 20 pancreatic fistulas and 32 symptomatic collections. A stepwise logistic regression model identified three factors associated with the need for interventional treatment, i.e., body mass index ≥25 (odds ratio, 3.23; 95 % confidence interval (CI), 1.32 to 7.91), pancreatic fistula (odds ratio, 2.93; 95 % CI, 1.20 to 7.17), and biliary fistula (odds ratio, 3.92; 95 % CI, 1.35 to 11.31). CONCLUSIONS: One fourth of patients develop various types of non-abscess AFCs after pancreatic surgery. Around half of them are asymptomatic and resolve spontaneously. |
format | Online Article Text |
id | pubmed-3709084 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-37090842013-07-15 Natural History of Intra-abdominal Fluid Collections Following Pancreatic Surgery Sierzega, Marek Kulig, Piotr Kolodziejczyk, Piotr Kulig, Jan J Gastrointest Surg Original Article BACKGROUND: Little data are available for non-abscess abdominal fluid collections (AFCs) after pancreatic surgery and their clinical implications. We sought to analyze the natural history of such collections in a population of patients subject to routine postoperative imaging. METHODS: From 1995 to 2011, 709 patients underwent pancreatic resections and routine postoperative monitoring with abdominal ultrasound according to a unit protocol. AFCs were classified as asymptomatic (no interventional treatment), symptomatic (need for percutaneous drainage of sterile, amylase-poor fluid), and pancreatic fistula (drainage of amylase-rich fluid). RESULTS: Ninety-seven of 149 AFCs (65 %) were asymptomatic and resolved spontaneously after a median follow-up of 22 days (interquartile range, 9–52 days). Among 52 (35 %) AFCs requiring percutaneous drainage, there were 20 pancreatic fistulas and 32 symptomatic collections. A stepwise logistic regression model identified three factors associated with the need for interventional treatment, i.e., body mass index ≥25 (odds ratio, 3.23; 95 % confidence interval (CI), 1.32 to 7.91), pancreatic fistula (odds ratio, 2.93; 95 % CI, 1.20 to 7.17), and biliary fistula (odds ratio, 3.92; 95 % CI, 1.35 to 11.31). CONCLUSIONS: One fourth of patients develop various types of non-abscess AFCs after pancreatic surgery. Around half of them are asymptomatic and resolve spontaneously. Springer US 2013-05-29 2013 /pmc/articles/PMC3709084/ /pubmed/23715649 http://dx.doi.org/10.1007/s11605-013-2234-1 Text en © The Author(s) 2013 https://creativecommons.org/licenses/by-nc/2.0/ Open Access This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited. |
spellingShingle | Original Article Sierzega, Marek Kulig, Piotr Kolodziejczyk, Piotr Kulig, Jan Natural History of Intra-abdominal Fluid Collections Following Pancreatic Surgery |
title | Natural History of Intra-abdominal Fluid Collections Following Pancreatic Surgery |
title_full | Natural History of Intra-abdominal Fluid Collections Following Pancreatic Surgery |
title_fullStr | Natural History of Intra-abdominal Fluid Collections Following Pancreatic Surgery |
title_full_unstemmed | Natural History of Intra-abdominal Fluid Collections Following Pancreatic Surgery |
title_short | Natural History of Intra-abdominal Fluid Collections Following Pancreatic Surgery |
title_sort | natural history of intra-abdominal fluid collections following pancreatic surgery |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3709084/ https://www.ncbi.nlm.nih.gov/pubmed/23715649 http://dx.doi.org/10.1007/s11605-013-2234-1 |
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