Abdominal Pressure Monitoring in Patients with Acute Pancreatitis

Abstract

The purpose of the study was to determine whether abdominal pressure could be monitored in patients with acute pancreatitis, pancreonecrosis after endoscopic drainage of the abdomen.Materials and methods. The results of abdominal pressure monitoring were analyzed in 94 patients with acute pancreatitis, fatty or hemorrhagic pancreonecrosis. According to the severity and duration of abdominal hypertension, the patients were divided into 3 groups. The authors analyzed their condition by the APACHE II scale, abdominal pressure, the duration of its elevation, an abdominal pressure response to peritoneal lavage, the pattern and number of organ dysfunctions.Results. In patients with acute pancreatitis or pancreonecrosis, a long abdominal pressure rise occurs in 41.5% of cases despite laporoscopic drainage of the abdomen. A correlation between the evaluation of their condition by the APACHE II scale and abdominal pressure starts when grade 1 abdominal hypertension develops. The upper range of subjective abdominal hypertension tolerability is 26.4±3.24 cm H2O.