Management of severe acute pancreatitis with infected pancreatic necrosis at the National Hospital of Itauguá - Paraguay
DOI:
https://doi.org/10.71112/wxfavr53Keywords:
severe acute pancreatitis, infected pancreatic necrosis, minimally invasive surgery, minimally invasive necrosectomyAbstract
Acute pancreatitis is a common condition in emergency services that can lead to severe complications such as infected pancreatic necrosis. Objective: This study describes the experience in managing this condition at the National Hospital of Itauguá, Paraguay, during the period 2020-2022. Methods: A retrospective study was conducted on patients with severe acute pancreatitis and infected pancreatic necrosis treated at the National Hospital of Itauguá. Clinical data, treatments performed, and outcomes were analyzed. Results: A total of 67 cases were included. The study shows that the majority of patients with severe acute pancreatitis were men (76%), with a predominant age distribution in those over 60 years (30%). The main cause was gallstones (76%). According to the Atlanta criteria, 66% of the cases were classified as severe acute pancreatitis, with the majority managed through minimally invasive surgery (40.3%). Conclusions: The minimally invasive surgical approach showed efficacy with significant improvement in clinical outcomes and reduced the need for more invasive interventions.
Downloads
References
Banks, P. A., Bollen, T. L., Dervenis, C., Gooszen, H. G., Johnson, C. D., Sarr, M. G., et al. (2013). Classification of acute pancreatitis - 2012: Revision of the Atlanta classification and definitions by international consensus. Gut, 62(1), 102–111. https://ri.conicet.gov.ar/bitstream/handle/11336/29220/CONICET_Digital_Nro.25647.pdf?sequence=1&isAllowed=y DOI: https://doi.org/10.1136/gutjnl-2012-302779
Chua, T. Y., Matthew Walsh, R., Baker, M. E., & Stevens Cleveland, T. (2017). Pancreatitis necrotizante: Revisión de la evidencia actual del diagnóstico y manejo de la pancreatitis necrotizante. Clin J Med, 84(8). http://webs.fcm.unc.edu.ar/wpcontent/blogs.dir/30/files/2018/03/Revisión-de-la-evidencia-actual-del-diagnóstico-y-manejo-de-la-pancreatitis-necrotizante.pdf
Cueva Camacho, H. L. (2022). Exactitud del índice neutrófilo linfocito para pancreatitis aguda grave en el Hospital de Sullana 2017–2021. NIVEL DE CONOCIMIENTO SOBRE MÉTODOS ANTICONCEPTIVOS ENTRE ESTUDIANTES DE MEDICINA HUMANA DEL 1er al 3er AÑO UNIVERSIDAD SEÑOR DE SIPÁN 202. http://www.scielo.br/pdf/ean/v13n2/v13n2a08.pdf
Cueva, Z. M., & Aguayo, V. W. (2018). Necrosectomía pancreática laparoscópica por pancreatitis necrotizante infectada. Rev Fed Ecuatoriana Radiol e Imagen, 13(2), 43–49. http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S1405-99402006000800011&lng=es
De Franqa, F. F., Lopes Titon, I. M., Takada, J., Santana Souto, N., Antunes Delfes, R., Kreve, F., et al. (2020). Necrosectomía endoscópica asistida por laparoscopia: un enfoque efectivo en la necrosis pancreática infectada. Rev Gastroenterol Latinoam, 31(3), 151–156. https://gastrolat.org/DOI/PDF/10.46613/gastrolat2020003-05.pdf DOI: https://doi.org/10.46613/gastrolat2020003-05
Fernández Gómez, A., Sánchez Menéndez, A. C., Pujol Legrá, P., & López Abreu, Y. (2013). Laparoscopic necrosectomy in acute pancreatitis. Rev Cuba Cirugía, 52(4), 306–314. http://scielo.sld.cu/pdf/cir/v52n4/cir08413.pdf
Flores, I., Huang, L., & López, M. (2015). Manejo quirúrgico de la pancreatitis aguda necrotizante. Rev Medica Costa Rica y Centroam, 71(616), 575–581. https://www.binasss.sa.cr/revistas/rmcc/616/art12.pdf
Foster, B. R., Jensen, K. K., Bakis, G., Shaaban, A. M., & Coakley, F. V. (2016). Revised Atlanta classification for acute pancreatitis: A pictorial essay. Radiographics, 36(3), 675–687. https://d1wqtxts1xzle7.cloudfront.net/64646187/clasificacion_de_atlanta_pancreatitis_(TAC)-libre.pdf DOI: https://doi.org/10.1148/rg.2016150097
Garro Urbina, V., & Thuel Gutiérrez, M. (2020). Diagnóstico y tratamiento de pancreatitis aguda. Rev Medica Sinerg, 5(7), e537. https://revistamedicasinergia.com/index.php/rms/article/view/537 DOI: https://doi.org/10.31434/rms.v5i7.537
Lee, P. J., Lahooti, A., Culp, S., Boutsicaris, A., Holovach, P., Wozniak, K., et al. (2023). Obesity and alcoholic etiology as risk factors for multisystem organ failure in acute pancreatitis: Multinational study. United European Gastroenterology Journal, 11(4), 383–391. https://onlinelibrary.wiley.com/doi/epdf/10.1002/ueg2.12390 DOI: https://doi.org/10.1002/ueg2.12390
Mejía Ochoa, F. J., & Dante, A. (2022). The use of minimally invasive techniques in the treatment of acute necrotizing pancreatitis; a systematic review (Vol. 10). Universidad Abierta Interamericana. https://dspaceapi.uai.edu.ar/server/api/core/bitstreams/e40e66f5-df2a-46f3-870f-eb16d1ca52ac/content
Mesén Román, M., & Vargas Calvo, M. (2022). Generalidades de la pancreatitis aguda. Rev Medica Sinerg, 7(5), e809. https://www.revistamedicasinergia.com/index.php/rms/article/view/809/1553 DOI: https://doi.org/10.31434/rms.v7i5.809
Revoredo Rego, F., Reaño Paredes, G., De Vinatea De Cardenas, J., Kometter Barrios, F., Alfaro Ita, S., & Vereu Robles, J. (2021). Pancreatitis aguda necrotizante infectada: Desbridamiento retroperitoneal video asistido. Med (Buenos Aires), 81, 115–118. http://www.scielo.org.ar/pdf/medba/v81n1/1669-9106-medba81-01-115.pdf
Sánchez González, A., Aranda Narváez, J. M., Montiel Casado, C., Sanchez Pérez, B., Pulido Roa, Y., Marin Camero, R., et al. (2010). Tratamiento quirúrgico de la pancreatitis aguda grave: el abordaje mínimamente invasivo para la necrosectomía y la importancia de la hipertensión intraabdominal. Cir Andal, 21, 428–431. https://www.asacirujanos.com/documents/revista/pdf/2010/2010-vol21-n4-act7.pdf
Velázquez Gutiérrez, J., & Vargas Useche, M. (2020). Pancreatitis aguda: Artículo de revisión. Rev Venez Cirugía, 73(2), 35–40. https://revistavenezolanadecirugia.com/index.php/revista/article/view/389/509 DOI: https://doi.org/10.48104/RVC.2020.73.2.8
Viciedo Guillermo, M., Núñez Martínez, J. F., Madruga Vásquez, C., & Bouza Denis, I. (2022). Characterization of patients with acute pancreatitis in the multipurpose intensive care unit. Rev Cuba Med Mil, 51(2). http://scielo.sld.cu/pdf/mil/v51n2/1561-3046-mil-51-02-e1782.pdf
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Félix Rodrigo Coronel Gamarra, Carina Mabel Vargas Vera, Jorge Anibal Coronel Gamarra, Pablo Ruben Chamorro Caceres, Liz Noelia Insfran Correa (Autor/a)
This work is licensed under a Creative Commons Attribution 4.0 International License.
