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

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.

Keywords

• per-pancreatic collections
• surgical method
• acute pancreatitis
• endoscopic intervention