Wei AL, Guo Q, Wang MJ, Hu WM, Zhang ZD. Early complications after interventions in patients with acute pancreatitis. World J Gastroenterol 2016; 22(9): 2828-2836 [PMID: 26973421 DOI: 10.3748/wjg.v22.i9.2828]
Corresponding Author of This Article
Zhao-Da Zhang, MD, Department of Pancreatic Surgery, West China Hospital, No. 37, Guoxue Alley, Chengdu 610041, Sichuan Province, China. westch2011@163.com
Research Domain of This Article
Surgery
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Ai-Lin Wei, Qiang Guo, Ming-Jun Wang, Wei-Ming Hu, Zhao-Da Zhang, Department of Pancreatic Surgery, West China Hospital, Chengdu 610041, Sichuan Province, China
Author contributions: Wei AL, Guo Q, Hu WM and Zhang ZD conceived and designed the study; Wei AL and Wang MJ performed the study; Wei AL and Guo Q analyzed the data; Wei AL wrote the paper; all authors have read and approved the final version to be published.
Institutional review board statement: The study was reviewed and approved by the West China Hospital of Sichuan University Institutional Review Board.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All authors declare no conflicts of interest.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Zhao-Da Zhang, MD, Department of Pancreatic Surgery, West China Hospital, No. 37, Guoxue Alley, Chengdu 610041, Sichuan Province, China. westch2011@163.com
Telephone: +86-28-85422474 Fax: +86-28-85422872
Received: September 1, 2015 Peer-review started: September 1, 2015 First decision: October 15, 2015 Revised: November 4, 2015 Accepted: November 24, 2015 Article in press: November 24, 2015 Published online: March 7, 2016 Processing time: 182 Days and 23.8 Hours
Core Tip
Core tip: Intra-abdominal bleeding, colonic fistula, and progressive infection are the three major early post-procedural complications in patients with acute necrotizing pancreatitis regardless of the selected approach. Possible predictors, accurate diagnosis, and appropriate management methods are beneficial to decrease the mortality rate and convalescence, as well as promote the life quality of patients with acute pancreatitis. In this study, Marshall score, organ failures, preoperative respiratory infection, sepsis, preoperative systemic inflammatory response syndrome, and C-reactive protein level upon admission are associated with post-procedural complications. Proper and gentle intervention process, and close monitoring and evaluation of patients who are prone to suffer from postoperative complications may increase the therapeutic efficiency.
