Summary
Sixteen patients with severe bacteriologically proven infected pancreatic necrosis (IPN) undergoing sequential surgical treatment were studied in prospective. The severity of IPN was documented prior to operation with the following scores: 1) degree of necrosis by CT scan [<30% in three patients (19%); 30 – 50% in nine patients (56%); > 50% in four patients (25%)]; 2) Elebute and Stoner s sepsis score (16±4 points); 3) Goris’score of multiple organ failure (MOF) (5±2 points).
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References
Widdison AL, Karanjia ND. Pancreatic infection complicating acute pancreatitis. Br J Surg 1993; 80: 148–154.
D’Egidio A, Schein M. Surgical strategies in the treatment of pancreatic necrosis and infection. Br J Surg 1991; 78: 133–137.
Larvin M, Chalmers AG, Robinson PJ et al. Debridement and closed cavity irrigation for the treatment of pancreatic necrosis. Br J Surg 1989; 76: 465–471.
Fugger R, Schulz F, Rogy M et al. Open approach in pancreatic and infected pancreatic necrosis: laparostomies and preplanned revisions. World J Surg 1991; 15: 516–521.
Kemppainen E, Sainio V, Haapiainen R et al. Early localization of necrosis by contrast-enhanced computed tomography can predict outcome in severe acute pancreatitis. Br J Surg 1996; 83: 924–929.
Urbach DR, Marshall JC. Pancreatic abscess and infected pancreatic necrosis. Curr Opinion Surg Infections 1996; 4: 57–66.
Fedorak IJ, Ko TC, Djuricin G et al. Secondary pancreatic infections: are they distinct clinical entities? Surgery 1992; 112: 824–830.
Bradley EL III. Management of infected pancreatic necrosis by open drainage. Ann Surg 1987; 206: 542–550.
Bradley EL III. A fifteen year experience with open drainage for infected pancreatic necrosis. Surg Gynecol Obstet 1993; 177: 215–222.
Frey CF, Bradley EL III, Beger HG. Progress in acute pancreatitis. Surg Gynecol Obstet 1988; 167: 282–286.
Balthazar EJ, Ranson JHC, Naidich DP et al. Acute pancreatitis prognostic value of CT. Radiology 1985; 156: 767–772.
Ranson JHC, Balthazar E et al. Computed tomography and the prediction of pancreatic abscess in acute pancreatitis. Ann Surg 1985; 201: 656–663.
Elebute EA, Stoner HB. The grading of sepsis. Brit J Surg 1983; 70: 29–31.
Goris RJA, Boekhorst TPA, Nuytinck JKS et al. Multiple-organ failure. Arch Surg 1985; 120: 1109–1115.
Knaus WA, Draper EA, Douglas P et al. APACHE II: a severity of disease classification system. Crit Care Med 1985; 13: 818–829.
Dominioni L, Dionigi R. The grading of sepsis and the assessment of its prognosis in the surgical patient: a review. Surg Res Comm 1987; 1: 1–11.
Beger HG, Bittner R, Block S et al. Bacterial contamination of pancreatic necrosis. A prospective clinical study. Gastroenterology 1986; 91: 433–438.
Bittner R, Bloch S, Büchler M et al. Pancreatic abscess and infected pancreatic necrosis. Different local septic complications in acute pancreatitis. Dig Dis Sci 1987; 32: 1082–1087.
Ranson JHC, Rifkind KM, Turner JW. Prognostic signs and non-operative peritoneal lavage in acute pancreatitis. Surg Gynecol Obstet 1976; 143: 209–219.
Doglietto GB, Gui D, Pacelli F et al. Open vs closed treatment of secondary pancreatic infections. A review of 42 cases. Arch Surg 1994; 129: 689–693.
van Goor H, Sluiter WJ, Bleichrodt RP. Early and long term results of necrosectomy and planned reexplorations for infected pancreatic necrosis. Eur.J Surg, in press.
Wilson C, Heath DI and Imrie CW. Prediction of outcome in acute pancreatitis: a comparative study of APACHE II, clinical assessment and multiple factor scoring systems. Br J Surg 1990; 77: 1260–1264.
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© 1999 Springer Science+Business Media Dordrecht
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Dominioni, L., Benevento, A., Carcano, G., Peloni, G., Dionigi, R. (1999). Infected pancreatic necrosis complicated by multiple organ failure. In: Zanella, E. (eds) Advances in Abdominal Surgery. Springer, Dordrecht. https://doi.org/10.1007/978-94-011-4469-8_1
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DOI: https://doi.org/10.1007/978-94-011-4469-8_1
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-010-5914-5
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