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Management of Splenic Abscess after Splenic Arterial Embolization in Severe Acute Pancreatitis: A 5-Year Single-Center Experience
Joint Authors
Tong, Zhihui
Gao, Lin
Li, Weiqin
Li, Gang
Zhou, Jing
Ye, Bo
Zhang, Jingzhu
Qu, Cheng
Ke, Lu
Source
Gastroenterology Research and Practice
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-07-01
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Objective.
To describe the management and prognosis of splenic abscess after splenic arterial embolization in severe acute pancreatitis (SAP) patients.
Methods.
This is a retrospective observational study.
From August 2012 to August 2017, SAP patients with infected pancreatic necrosis (IPN) who underwent splenic arterial embolization after massive hemorrhage of the splenic artery were screened and those who developed splenic abscess were included for analysis.
The demographic characteristics, etiology, treatment of splenic abscess, and clinical outcomes of these cases were collected and analyzed.
Results.
A total of 18 patients with splenic abscess formed after splenic arterial embolization were included for data analysis.
The median age of the 18 patients was 46 years.
The etiologies included biliary AP, hypertriglyceridemic AP (HTG-AP), and other causes.
Ten patients underwent minimally invasive percutaneous drainage only for splenic abscess while the other eight patients received splenectomy.
One patient died due to uncontrolled infection and another patient died due to massive bleeding, and the remaining sixteen patients survived.
Conclusion.
The incidence of splenic abscess was high in patients requiring splenic arterial embolization due to massive bleeding.
Our data showed that most splenic abscess could be successfully managed with minimally invasive interventions, and traditional splenectomy should serve as a backup treatment.
American Psychological Association (APA)
Li, Gang& Gao, Lin& Zhou, Jing& Ye, Bo& Zhang, Jingzhu& Qu, Cheng…[et al.]. 2019. Management of Splenic Abscess after Splenic Arterial Embolization in Severe Acute Pancreatitis: A 5-Year Single-Center Experience. Gastroenterology Research and Practice،Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1155296
Modern Language Association (MLA)
Li, Gang…[et al.]. Management of Splenic Abscess after Splenic Arterial Embolization in Severe Acute Pancreatitis: A 5-Year Single-Center Experience. Gastroenterology Research and Practice No. 2019 (2019), pp.1-5.
https://search.emarefa.net/detail/BIM-1155296
American Medical Association (AMA)
Li, Gang& Gao, Lin& Zhou, Jing& Ye, Bo& Zhang, Jingzhu& Qu, Cheng…[et al.]. Management of Splenic Abscess after Splenic Arterial Embolization in Severe Acute Pancreatitis: A 5-Year Single-Center Experience. Gastroenterology Research and Practice. 2019. Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1155296
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1155296