Percutaneous ultrasound-guided puncture and catheter drainage methods in the treatment of fluid collections following acute pancreatitis

Abstract

The aim: Improve the treatment outcomes of patients with fluid collections following acute pancreatitis using an ultrasound-guided puncture and catheter drainage methods. Materials and methods: 67 patients with acute pancreatitis complicated by fluid collections were divided into two groups. The first group (comparison group) consisted of 32 patients who underwent percutaneous ultrasound-guided puncture and catheter drainage interventions in addition to conservative therapy. The second group (control group) consisted of 35 patients receiving conservative therapy. The age of patients was from 18 to 77 years. In the comparison group among 32 patients there were 19 women and 13 men, the average age consisted 48.2 ± 2.2 years. In the control group among 35 patients there were 21 women and 14 men, the average age of patients consisted 47.1 ± 2.3 years. Results: The mortality rate in the comparison group was 2 (6.2%) cases, in the control group – 4 (11.4%) cases (p <0.05). Infection of fluid collections developed in 2 (6.2%) patients of the comparison group and in 5 (14.3%) patients of the control group. The average length of stay in the hospital of patients in the comparison group was 24.13 ± 2.17 days, in the control group 28.11 ± 1.05 days (p <0.05). Also in the comparison group there was a faster normalization of clinical and laboratory indicators (level of leukocytes, serum amylase, C-reactive protein) (p <0,05). Conclusions: the use of percutaneous ultrasound-guided puncture and catheter drainage methods has reduced mortality and improved treatment outcomes in patients with acute pancreatitis complicated by fluid collections.