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
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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
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AT qasimbutt conventionalsurgeryvsinterventionalmanagementofperipancreaticcollectionsrelatedtoacutepancreatitis
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