CONVENTIONAL SURGERY V/S INTERVENTIONAL MANAGEMENT OF PERIPANCREATIC COLLECTIONS RELATED TO ACUTE PANCREATITIS

Objective: To determine the difference in outcomes of conventional surgery v/s. interventional methods for peripancreatic collections after acute pancreatitis at Pak Emirates Military Hospital and Combined Military Hospital Rawalpindi. Study Design: Prospective comparative study. Place and Dur...

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Autores principales:	Talha Yasin, Nasir Mehmud Wattuu, Qasim Butt, Kamran Safdar, Saad Rao
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2021
Materias:	per-pancreatic collections surgical method acute pancreatitis endoscopic intervention Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/1cb115e3dc9249feb9b99b71a959a9b7
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spelling	oai:doaj.org-article:1cb115e3dc9249feb9b99b71a959a9b72021-12-02T18:44:46ZCONVENTIONAL SURGERY V/S INTERVENTIONAL MANAGEMENT OF PERIPANCREATIC COLLECTIONS RELATED TO ACUTE PANCREATITIS0030-96482411-884210.51253/pafmj.v71i1.2946https://doaj.org/article/1cb115e3dc9249feb9b99b71a959a9b72021-02-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/2946https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To determine the difference in outcomes of conventional surgery v/s. interventional methods for peripancreatic collections after acute pancreatitis at Pak Emirates Military Hospital and Combined Military Hospital Rawalpindi. Study Design: Prospective comparative study. Place and Duration of Study: Pak Emirates Military Hospital and Combined Military Hospital Rawalpindi, from Apr 2018 to Mar 2019. Methodology: A prospective study was conducted on 100 patients who underwent either surgical or intervenetional management of peri-pancreatic collections after an episode of acute pancreatitis. Detailed assessments of positive outcomes and all side effects were done immediately post-procedure, at 48 hours, at the time of discharge and two weeks after procedure on all the participants. Results: Out of 100 patients included in the final analysis 78 were male and 22 were female. Mean age of patients in our study who underwent either surgery or intervention for peri-pancreatic collection was 42.41 ± 3.521 years. Mean duration of hospital stay after the surgery was 6.93 ± 4.662 days. Using binary logistic regression we found no statistically significant difference between both approaches in terms of positive outcomes or therapeutic use but presence of infection and readmission in hospital had a strong relationship with conventional surgery (p-value <0.05). Conclusion: No statistically significant difference in therapeutic use was observed, however, complication rate, especially infections and readmission was statistically significantly higher among the patients undergoing conventional surgery as compared to interventional management.Talha YasinNasir Mehmud WattuuQasim ButtKamran SafdarSaad RaoArmy Medical College Rawalpindiarticleper-pancreatic collectionssurgical methodacute pancreatitisendoscopic interventionMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 71, Iss 1, Pp 51-56 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	per-pancreatic collections surgical method acute pancreatitis endoscopic intervention Medicine R Medicine (General) R5-920
spellingShingle	per-pancreatic collections surgical method acute pancreatitis endoscopic intervention Medicine R Medicine (General) R5-920 Talha Yasin Nasir Mehmud Wattuu Qasim Butt Kamran Safdar Saad Rao CONVENTIONAL SURGERY V/S INTERVENTIONAL MANAGEMENT OF PERIPANCREATIC COLLECTIONS RELATED TO ACUTE PANCREATITIS
description	Objective: To determine the difference in outcomes of conventional surgery v/s. interventional methods for peripancreatic collections after acute pancreatitis at Pak Emirates Military Hospital and Combined Military Hospital Rawalpindi. Study Design: Prospective comparative study. Place and Duration of Study: Pak Emirates Military Hospital and Combined Military Hospital Rawalpindi, from Apr 2018 to Mar 2019. Methodology: A prospective study was conducted on 100 patients who underwent either surgical or intervenetional management of peri-pancreatic collections after an episode of acute pancreatitis. Detailed assessments of positive outcomes and all side effects were done immediately post-procedure, at 48 hours, at the time of discharge and two weeks after procedure on all the participants. Results: Out of 100 patients included in the final analysis 78 were male and 22 were female. Mean age of patients in our study who underwent either surgery or intervention for peri-pancreatic collection was 42.41 ± 3.521 years. Mean duration of hospital stay after the surgery was 6.93 ± 4.662 days. Using binary logistic regression we found no statistically significant difference between both approaches in terms of positive outcomes or therapeutic use but presence of infection and readmission in hospital had a strong relationship with conventional surgery (p-value <0.05). Conclusion: No statistically significant difference in therapeutic use was observed, however, complication rate, especially infections and readmission was statistically significantly higher among the patients undergoing conventional surgery as compared to interventional management.
format	article
author	Talha Yasin Nasir Mehmud Wattuu Qasim Butt Kamran Safdar Saad Rao
author_facet	Talha Yasin Nasir Mehmud Wattuu Qasim Butt Kamran Safdar Saad Rao
author_sort	Talha Yasin
title	CONVENTIONAL SURGERY V/S INTERVENTIONAL MANAGEMENT OF PERIPANCREATIC COLLECTIONS RELATED TO ACUTE PANCREATITIS
title_short	CONVENTIONAL SURGERY V/S INTERVENTIONAL MANAGEMENT OF PERIPANCREATIC COLLECTIONS RELATED TO ACUTE PANCREATITIS
title_full	CONVENTIONAL SURGERY V/S INTERVENTIONAL MANAGEMENT OF PERIPANCREATIC COLLECTIONS RELATED TO ACUTE PANCREATITIS
title_fullStr	CONVENTIONAL SURGERY V/S INTERVENTIONAL MANAGEMENT OF PERIPANCREATIC COLLECTIONS RELATED TO ACUTE PANCREATITIS
title_full_unstemmed	CONVENTIONAL SURGERY V/S INTERVENTIONAL MANAGEMENT OF PERIPANCREATIC COLLECTIONS RELATED TO ACUTE PANCREATITIS
title_sort	conventional surgery v/s interventional management of peripancreatic collections related to acute pancreatitis
publisher	Army Medical College Rawalpindi
publishDate	2021
url	https://doaj.org/article/1cb115e3dc9249feb9b99b71a959a9b7
work_keys_str_mv	AT talhayasin conventionalsurgeryvsinterventionalmanagementofperipancreaticcollectionsrelatedtoacutepancreatitis AT nasirmehmudwattuu conventionalsurgeryvsinterventionalmanagementofperipancreaticcollectionsrelatedtoacutepancreatitis AT qasimbutt conventionalsurgeryvsinterventionalmanagementofperipancreaticcollectionsrelatedtoacutepancreatitis AT kamransafdar conventionalsurgeryvsinterventionalmanagementofperipancreaticcollectionsrelatedtoacutepancreatitis AT saadrao conventionalsurgeryvsinterventionalmanagementofperipancreaticcollectionsrelatedtoacutepancreatitis
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CONVENTIONAL SURGERY V/S INTERVENTIONAL MANAGEMENT OF PERIPANCREATIC COLLECTIONS RELATED TO ACUTE PANCREATITIS

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