Endlicher, Esther and Voelk, M. and Feuerbach, S. and Schoelmerich, Juergen and Schaeffler, A. and Messmann, H. (2003) Long-term follow-up of patients with necrotizing pancreatitis treated by percutaneous necrosectomy. HEPATO-GASTROENTEROLOGY, 50 (54). pp. 2225-2228. ISSN 0172-6390
Full text not available from this repository. (Request a copy)Abstract
Background/Aims: The objective of this follow-up study was to assess the long-term outcome of patients with infected necrotizing pancreatitis treated with percutaneous catheter drainage and necrosectomy. Methodology: Nine patients (median age 44 years, range 19-69) with infected pancreatic necrosis and catheter drainage for initial treatment were evaluated after a median follow-up of 30 months (range 1552) with respect to quality of life (pain, diarrhea, fat intolerance), morphology and endocrine and exocrine pancreatic function. Results: At follow-up all 9 patients (100%) were in good general condition with respect to quality of life. Only 2/9 (22%) patients had moderate to marked changes in computed tomography. There was mild to moderate exocrine dysfunction in 5/8 (63%) patients, 2/8 (25%) patients had a severe restriction of the exocrine pancreatic function; in one patient the serum pancreoauryl test was normal. An oral glucose tolerance test was performed in 6/9 patients, with a normal result in. 3/6 (50%) patients. 2/6 (33%) patients had an impaired oral glucose tolerance test with metabolic pathogenesis. One patient with diabetes in the oral glucose tolerance test had a preexisting type II diabetes requiring insulin therapy since the onset of acute pancreatitis. In 3/9 (33%) patients an oral glucose tolerance test was not performed due to known preexisting diabetes. Conclusions: Percutaneous drainage of infected necrotizing pancreatitis has given good long-term results with regard to quality of life, endocrine and exocrine pancreatic function and may be an alternative to surgical treatment.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | SERUM PANCREOLAURYL TEST; INFECTED NECROSIS; DRAINAGE; PANCREATOGRAPHY; EXPERIENCE; DIAGNOSIS; infected necrotizing pancreatitis; percutaneous drainage; follow-up |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Innere Medizin I Medicine > Lehrstuhl für Röntgendiagnostik |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 30 Aug 2021 05:55 |
| Last Modified: | 30 Aug 2021 08:19 |
| URI: | https://pred.uni-regensburg.de/id/eprint/38447 |
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