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Original Research
Online Published: 21 Aug 2022
 


To study the outcome of Delayed surgical debridement in patients of necrotising pancreatitis.

Amey Doke, Nidhi Kandoi, Jayant Gadekar, Karan Parve Patil.


Abstract
Background: Acute Pancreatitis is one of the most commonly encountered diseases amongst alcoholic patients in western Maharashtra. One of its commonest sequelae is necrotising pancreatitis.
Methods: A retrospective study with a total of 27 patients were included in the study (with a prevalence of 1.3, Confidence level at 95%, error 5%and Attrition of 10%). Patients refractory to conservative were considered for Open Surgical Debridement. Data about the surgical and post-surgical outcomes were evaluated and studied.
Results: It was seen that the majority of patients with necrotizing pancreatitis (37%) were in the age group of 21-30yrs of age, followed by 31-40yrs (25.9%). The majority of the patients were male (85.2%) with a male: female ratio of 5.75:1. The aetiology of necrotizing pancreatitis showed 77.8% were alcoholics, and 14.8% had gall stone and traumatic in 7.4% patients. In 29.6% of cases, surgery was performed ≤21 days; in 70.4% of cases, surgery was performed after 21 days. While studying the outcome, it was seen that 85.2% of patients survived, while death was reported in 14.8% of patients.
Conclusion: Surgical debridement with the closure of drains is a viable option in stable patients, and a policy to perform delayed necrosectomy may be prudent.

Key words: Acute pancreatitis, Acute necrotic collection (ANC), Walled-off pancreatic necrosis (WOPN), APACHE II SCORE, CTSI SCORE


 
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How to Cite this Article
Pubmed Style

Doke A, Kandoi N, Gadekar J, Patil KP. To study the outcome of Delayed surgical debridement in patients of necrotising pancreatitis.. Int J Surg Med. 2022; 8(2): 25-30. doi:10.5455/ijsm.Delayed-surgical-debridement-patients-necrotising-pancreatitis

Web Style

Doke A, Kandoi N, Gadekar J, Patil KP. To study the outcome of Delayed surgical debridement in patients of necrotising pancreatitis.. https://www.ejos.org/?mno=45695 [Access: September 13, 2024]. doi:10.5455/ijsm.Delayed-surgical-debridement-patients-necrotising-pancreatitis

AMA (American Medical Association) Style

Doke A, Kandoi N, Gadekar J, Patil KP. To study the outcome of Delayed surgical debridement in patients of necrotising pancreatitis.. Int J Surg Med. 2022; 8(2): 25-30. doi:10.5455/ijsm.Delayed-surgical-debridement-patients-necrotising-pancreatitis


Vancouver/ICMJE Style

Doke A, Kandoi N, Gadekar J, Patil KP. To study the outcome of Delayed surgical debridement in patients of necrotising pancreatitis.. Int J Surg Med. (2022), [cited September 13, 2024]; 8(2): 25-30. doi:10.5455/ijsm.Delayed-surgical-debridement-patients-necrotising-pancreatitis


Harvard Style

Doke, A., Kandoi, . N., Gadekar, . J. & Patil, . K. P. (2022) To study the outcome of Delayed surgical debridement in patients of necrotising pancreatitis.. Int J Surg Med, 8 (2), 25-30. doi:10.5455/ijsm.Delayed-surgical-debridement-patients-necrotising-pancreatitis


Turabian Style

Doke, Amey, Nidhi Kandoi, Jayant Gadekar, and Karan Parve Patil. 2022. To study the outcome of Delayed surgical debridement in patients of necrotising pancreatitis.. International Journal of Surgery and Medicine, 8 (2), 25-30. doi:10.5455/ijsm.Delayed-surgical-debridement-patients-necrotising-pancreatitis


Chicago Style

Doke, Amey, Nidhi Kandoi, Jayant Gadekar, and Karan Parve Patil. "To study the outcome of Delayed surgical debridement in patients of necrotising pancreatitis.." International Journal of Surgery and Medicine 8 (2022), 25-30. doi:10.5455/ijsm.Delayed-surgical-debridement-patients-necrotising-pancreatitis


MLA (The Modern Language Association) Style

Doke, Amey, Nidhi Kandoi, Jayant Gadekar, and Karan Parve Patil. "To study the outcome of Delayed surgical debridement in patients of necrotising pancreatitis.." International Journal of Surgery and Medicine 8.2 (2022), 25-30. Print. doi:10.5455/ijsm.Delayed-surgical-debridement-patients-necrotising-pancreatitis


APA (American Psychological Association) Style

Doke, A., Kandoi, . N., Gadekar, . J. & Patil, . K. P. (2022) To study the outcome of Delayed surgical debridement in patients of necrotising pancreatitis.. International Journal of Surgery and Medicine, 8 (2), 25-30. doi:10.5455/ijsm.Delayed-surgical-debridement-patients-necrotising-pancreatitis


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