From: Endoscopic ultrasound criteria to predict the need for intervention in pancreatic necrosis
Characteristics at presentation: | |
· | Age: median 58 years [range 21 - 82] |
· | Gender: male (n = 18); female (n = 13) |
· | Pain in 2 patients (6%) |
· | C-reactive peptide (CRP): median 12 mg/l [range <0,4 – 107] (not available in 7 patients) |
· | Diameter of necrosis: median 44 mm [range 16 - 110] |
· | Echogenicity of fluid: increased in 17 patients (54%) |
· | Air bubbles in necrotic cavity: 1 patient (3%) |
· | Interval to acute pancreatitis or acute attack of chronic pancreatitis: median 119 d [19 – 1460] (not available in 17 patients with chronic pancreatitis or incidental finding of necrosis) |
Follow up: Median 243 days [60 – 922] | |
Outcome: | |
· | without primary endpoint (n = 21) |
· | with primary endpoints (n = 10) |
o Necrosectomy (n = 4) | |
3 x endoscopic necrosectomy, 1x open surgery | |
o Other surgery (n = 1): pancreatic head carcinoma | |
o Drainage (n = 4) | |
2 x percutaneous drainage; 2 x endosopic drainage (including one patient dying from sepsis) | |
o Other death (n = 1): ileus |