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Natural history of intra-abdominal fluid collections following pancreatic surgery
pancreaticoduodenectomy
pancreatectomy
distal
pancreatectomy
complications
abdominal fluid collections
Background Little data are available for non-abscess abdominal fluid collections (AFCs) after pancreatic surgery and their clinical implications.We sought to analyze the natural history of such collections in a population of patients subject to routine postoperative imaging. Methods From 1995 to 2011, 709 patients underwent pancreatic resections and routine postoperative monitoring with abdominal ultrasound according to a unit protocol. AFCs were classified as asymptomatic (no interventional treatment), symptomatic (need for percutaneous drainage of sterile, amylase-poor fluid), and pancreatic fistula (drainage of amylase-rich fluid). Results Ninety-seven of 149 AFCs (65 %) were asymptomatic and resolved spontaneously after a median follow-up of 22 days (interquartile range, 9–52 days). Among 52 (35 %) AFCs requiring percutaneous drainage, there were 20 pancreatic fistulas and 32 symptomatic collections. A stepwise logistic regression model identified three factors associated with the need for interventional treatment, i.e., body mass index ≥25 (odds ratio, 3.23; 95 % confidence interval (CI), 1.32 to 7.91), pancreatic fistula (odds ratio, 2.93; 95 % CI, 1.20 to 7.17), and biliary fistula (odds ratio, 3.92; 95 % CI, 1.35 to 11.31). Conclusions One fourth of patients develop various types of non-abscess AFCs after pancreatic surgery. Around half of them are asymptomatic and resolve spontaneously.
dc.abstract.en | Background Little data are available for non-abscess abdominal fluid collections (AFCs) after pancreatic surgery and their clinical implications.We sought to analyze the natural history of such collections in a population of patients subject to routine postoperative imaging. Methods From 1995 to 2011, 709 patients underwent pancreatic resections and routine postoperative monitoring with abdominal ultrasound according to a unit protocol. AFCs were classified as asymptomatic (no interventional treatment), symptomatic (need for percutaneous drainage of sterile, amylase-poor fluid), and pancreatic fistula (drainage of amylase-rich fluid). Results Ninety-seven of 149 AFCs (65 %) were asymptomatic and resolved spontaneously after a median follow-up of 22 days (interquartile range, 9–52 days). Among 52 (35 %) AFCs requiring percutaneous drainage, there were 20 pancreatic fistulas and 32 symptomatic collections. A stepwise logistic regression model identified three factors associated with the need for interventional treatment, i.e., body mass index ≥25 (odds ratio, 3.23; 95 % confidence interval (CI), 1.32 to 7.91), pancreatic fistula (odds ratio, 2.93; 95 % CI, 1.20 to 7.17), and biliary fistula (odds ratio, 3.92; 95 % CI, 1.35 to 11.31). Conclusions One fourth of patients develop various types of non-abscess AFCs after pancreatic surgery. Around half of them are asymptomatic and resolve spontaneously. | pl |
dc.affiliation | Wydział Lekarski : I Katedra Chirurgii Ogólnej | pl |
dc.affiliation | Wydział Lekarski : Klinika Chirurgii Ogólnej, Onkologicznej i Gastroenterologicznej | pl |
dc.cm.date | 2020-01-07 | |
dc.cm.id | 58830 | |
dc.contributor.author | Sierżęga, Marek - 133388 | pl |
dc.contributor.author | Kulig, Piotr | pl |
dc.contributor.author | Kołodziejczyk, Piotr - 130228 | pl |
dc.contributor.author | Kulig, Jan - 130535 | pl |
dc.date.accessioned | 2020-01-17T07:51:47Z | |
dc.date.available | 2020-01-17T07:51:47Z | |
dc.date.issued | 2013 | pl |
dc.date.openaccess | 0 | |
dc.description.accesstime | w momencie opublikowania | |
dc.description.number | 8 | pl |
dc.description.physical | 1406-1413 | pl |
dc.description.points | 30 | pl |
dc.description.version | ostateczna wersja wydawcy | |
dc.description.volume | 17 | pl |
dc.identifier.doi | 10.1007/s11605-013-2234-1 | pl |
dc.identifier.eissn | 1873-4626 | pl |
dc.identifier.issn | 1091-255X | pl |
dc.identifier.project | ROD UJ / OP | pl |
dc.identifier.uri | https://ruj.uj.edu.pl/xmlui/handle/item/131527 | |
dc.language | eng | pl |
dc.language.container | eng | pl |
dc.rights | Udzielam licencji. Uznanie autorstwa | * |
dc.rights.licence | CC-BY | |
dc.rights.uri | http://creativecommons.org/licenses | * |
dc.share.type | inne | |
dc.subject.en | pancreaticoduodenectomy | pl |
dc.subject.en | pancreatectomy | pl |
dc.subject.en | distal | pl |
dc.subject.en | pancreatectomy | pl |
dc.subject.en | complications | pl |
dc.subject.en | abdominal fluid collections | pl |
dc.subtype | Article | pl |
dc.title | Natural history of intra-abdominal fluid collections following pancreatic surgery | pl |
dc.title.journal | Journal of Gastrointestinal Surgery | pl |
dc.type | JournalArticle | pl |
dspace.entity.type | Publication |
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