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/
World J Gastroenterol. Mar 7, 2016; 22(9): 2828-2836 Published online Mar 7, 2016. doi: 10.3748/wjg.v22.i9.2828
Table 1 Definitions
Systemic inflammatory response syndrome
Occurrence of 2 or more of the followings for > 48 h: pulse > 90 beats/min; rectal temperature < 36 °C or > 38 °C; white blood cell count < 4000 or > 12000/mL; and respirations > 20/min or pCO2 < 32 mmHg
Renal failure
Creatinine level > 177 μmol/L (2 mg/dL) after rehydration or hemofiltration or hemodialysis
PaO2 60 mmHg or less despite FiO2 of 0.30, or need for mechanical ventilation
Multiple organ failure
Two or more organs failed
Preoperative respiratory infection
Positive sputum culture with or without clinical symptoms
Colonic fistula
Discharge of large-bowel contents from a drain or a drain site or from the surgical wound
Progressive infection
Simmering infection in which the patient has intermittent low-grade fever, with or without leukocytosis and imaging showing incomplete resolution of the necrosis, which may not be accompanied by purulent discharge from the drains
Intra-abdominal bleeding
New fresh blood coming from drainage or wound and blood loss more than 500 mL in 24 h
Respiratory infection
New positive microbiological results of sputum culture after surgery with or without clinical symptoms
Postoperative sepsis
New positive blood culture/aspirate and more than one of the following clinical signs: rectal temperature < 36 °C or > 38 °C, tachycardia > 90/min, tachypnea (respiratory rate > 20/min) or hyperventilation (paCO2 < 4.3 kPa), white blood cell count < 4 × 109/L or > 12 × 109/L, or the presence of more than 10% immature neutrophils
Table 2 Characteristics and outcomes of patients with necrosectomy n (%)
Citation: 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