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

  • Talha Yasin Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Nasir Mehmud Wattuu Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Qasim Butt Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Kamran Safdar Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
  • Saad Rao Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan
Keywords: per-pancreatic collections, surgical method, acute pancreatitis, endoscopic intervention

Abstract

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.

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Author Biographies

Talha Yasin, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

Resident Surgeon at Pak-Emirates Military Hospital, Rawalpindi, Pakistan.

Nasir Mehmud Wattuu, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

Consultant Surgeon at Army Liver Transplant Unit, part of Pak-Emirates Military Hospital, Rawalpindi, Pakistan.

Kamran Safdar, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

Resident surgeon at Pak- Emirates Military Hospital, Rawalpindi, Pakistan.

Saad Rao, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan

Consultant Gastroenterologist at Pak- Emirates Military Hospital, Rawalpindi, Pakistan.

Published
2021-02-23
How to Cite
Yasin, T., Wattuu, N., Butt, Q., Safdar, K., & Rao, S. (2021). CONVENTIONAL SURGERY V/S INTERVENTIONAL MANAGEMENT OF PERIPANCREATIC COLLECTIONS RELATED TO ACUTE PANCREATITIS. PAFMJ, 71(1), 51-56. https://doi.org/10.51253/pafmj.v71i1.2946
Section
Original Articles

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