转诊医院急性胰腺炎患者胰腺收集的临床、诊断和治疗特点

Q2 Medicine
Arquivos de Gastroenterologia Pub Date : 2025-07-21 eCollection Date: 2025-01-01 DOI:10.1590/S0004-2803.24612024-105
Rómulo Darío Vargas, Ana María Leguizamo-Naranjo, Oscar Mauricio Muñoz-Velandia, Rafael Gregorio Peña-Amaya
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引用次数: 0

摘要

背景:胰腺积液是急性胰腺炎的常见并发症。在拉丁美洲,关于胰腺收集的类型及其管理的信息有限,并且根据高度专业化和微创治疗资源的可用性,可能因地区而异。方法:回顾性队列研究2012-2023年在波哥大圣伊格纳西奥大学医院(哥伦比亚)治疗的急性胰腺炎继发急性胰腺收集患者。描述了临床特征、实验室概况和接受的治疗,比较了那些有致命结果的人和那些没有致命结果的人。结果:689例急性胰腺炎患者中,113例胰腺收集(55.1%为女性,平均年龄55岁)。其中47.8%表现为急性坏死性收集,36.3%表现为急性液体收集,9.7%表现为壁状坏死,6.2%表现为胰腺假性囊肿。c反应蛋白、BUN、肌酐水平(入院时和48小时)、PaO2/FiO2(入院时和48小时)和抗生素使用与死亡率显著相关(结论:急性收集是胰腺炎常见且异质性的并发症,复杂收集更需要干预。某些实验室参数似乎与死亡率关系更大。背景:•胰腺收集是急性胰腺炎的常见并发症。背景:•它们的管理取决于专业和微创资源的可用性。背景:•一项对689例急性胰腺炎患者进行的研究显示,113例发生胰腺收集。背景:•急性胰腺收集是胰腺炎的常见和异质性并发症。•一些实验室参数的改变(肌酐、尿素、c反应蛋白和FiO2)似乎与死亡率更相关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
CLINICAL, DIAGNOSTIC AND THERAPEUTIC CHARACTERIZATION OF PATIENTS WITH PANCREATIC COLLECTIONS DUE TO ACUTE PANCREATITIS IN A REFERRAL HOSPITAL.

Background: Pancreatic collections are a common complication of acute pancreatitis. In Latin America, information on the types of pancreatic collections and their management is limited and may vary between regions depending on the availability of highly specialised and minimally invasive treatment resources.

Methods: Retrospective cohort of patients with acute pancreatic collections secondary to acute pancreatitis treated at the Hospital Universitario San Ignacio, Bogotá (Colombia) between 2012-2023. Clinical characteristics, laboratory profiles and treatment received were described, comparing those who had a fatal outcome with those who did not.

Results: Of 689 patients with acute pancreatitis, 113 presented with pancreatic collection (55.1% women, mean age 55 years). Of these, 47.8% presented with acute necrotic collection, 36.3% with acute fluid collection, 9.7% with walled-off necrosis and 6.2% with pancreatic pseudocyst. C-reactive protein, BUN, creatinine levels (at admission and at 48 hours), PaO2/FiO2 (at admission and at 48 hours) and antibiotic use were significantly associated with mortality (P<0.05). The majority of acute necrotic collections, walled-off necrosis and pseudocysts received interventional management, with minimally invasive and combined management being more common than surgical management. Antibiotic management was used in 48.6% of collections, although microbiological isolation was performed in only 24.7% of cases.

Conclusion: Acute collections are a common and heterogeneous complication of pancreatitis, requiring intervention more often in complicated collections. Certain laboratory parameters seem to be more associated with mortality.

Background: • Pancreatic collections are a common complication of acute pancreatitis.

Background: • Their management depends on the availability of specialized and minimally invasive resources.

Background: • A study conducted on 689 patients with acute pancreatitis showed that 113 developed pancreatic collections.

Background: • Acute pancreatic collections are frequent and heterogeneous complications of pancreatitis.

Background: • Some altered laboratory parameters (creatinine, urea, C-reactive protein, and FiO2) seem to be more associated with mortality.

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来源期刊
Arquivos de Gastroenterologia
Arquivos de Gastroenterologia Medicine-Gastroenterology
CiteScore
2.00
自引率
0.00%
发文量
109
审稿时长
9 weeks
期刊介绍: The journal Arquivos de Gastroenterologia (Archives of Gastroenterology), a quarterly journal, is the Official Publication of the Instituto Brasileiro de Estudos e Pesquisas de Gastroenterologia IBEPEGE (Brazilian Institute for Studies and Research in Gastroenterology), Colégio Brasileiro de Cirurgia Digestiva - CBCD (Brazilian College of Digestive Surgery) and of the Sociedade Brasileira de Motilidade Digestiva - SBMD (Brazilian Digestive Motility Society). It is dedicated to the publishing of scientific papers by national and foreign researchers who are in agreement with the aim of the journal as well as with its editorial policies.
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