scholarly journals Prediction of invasive candidal infection in critically ill patients with severe acute pancreatitis

Critical Care ◽  
2013 ◽  
Vol 17 (2) ◽  
pp. R49 ◽  
Author(s):  
Alison M Hall ◽  
Lee AL Poole ◽  
Bryan Renton ◽  
Alexa Wozniak ◽  
Michael Fisher ◽  
...  
Author(s):  
Gaurav Patil ◽  
Amit Maydeo ◽  
Ankit Dalal ◽  
Arun Iyer ◽  
Rajdeep More ◽  
...  

Infected walled-off pancreatic necrosis (WOPN) is a severe complication of acute pancreatitis. Surgery in these critically ill patients can be associated with increased morbidity and mortality. Hence, minimally invasive therapies have emerged as an alternative to surgery. Herein, we report a case of severe acute pancreatitis with WOPN which was treated percutaneously with a flexible endoscope through an esophageal self-expanding metal stent using a total retroperitoneal approach. Percutaneous direct endoscopic necrosectomy (p-DEN) using the retroperitoneal route improved the patient’s parameters dramatically with resolution of sepsis without the need for surgery. p-DEN using a flexible endoscope passed through a large bore metal stent shows promise in selected patients with WOPN and can be used in patients who are not ideal candidates for transmural or surgical drainage.


2021 ◽  
Vol Volume 14 ◽  
pp. 4491-4498
Author(s):  
Daguan Zhang ◽  
Tingting Wang ◽  
Xiuli Dong ◽  
Liang Sun ◽  
Qiaolin Wu ◽  
...  

Pancreas ◽  
2006 ◽  
Vol 33 (4) ◽  
pp. 476
Author(s):  
P. G. Lankisch ◽  
B. Weber-Dany ◽  
C. Doobe ◽  
T. Finger ◽  
P. Maisonneuve ◽  
...  

Réanimation ◽  
2005 ◽  
Vol 14 (2) ◽  
pp. 148-150
Author(s):  
Avery B. Nathens ◽  
J. Randall Curtis ◽  
Richard J. Beale ◽  
Deborah J. Cook ◽  
Rui P. Moreno ◽  
...  

BMJ Open ◽  
2017 ◽  
Vol 7 (5) ◽  
pp. e015280 ◽  
Author(s):  
Stéphanie Bulyez ◽  
Bruno Pereira ◽  
Elodie Caumon ◽  
Etienne Imhoff ◽  
Laurence Roszyk ◽  
...  

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Yan Lu ◽  
Qiaohong Zhang ◽  
Jianjie Lou

AbstractAcute pancreatitis (AP) results in potentially harmful blood glucose fluctuations, affecting patient prognosis. This study aimed to explore the relationship between blood glucose-related indicators and in-hospital mortality in critically ill patients with AP. We extracted data on AP patients from the Multiparameter Intelligent Monitoring in Intensive Care III database. Initial glucose (Glucose_initial), maximum glucose (Glucose_max), minimum glucose (Glucose_min), mean glucose (Glucose_mean), and glucose variability (glucose standard deviation [Glucose_SD] and glucose coefficient of variation [Glucose_CV]) were selected as blood glucose-related indicators. Logistic regression models and the Lowess smoothing curves were used to display the association between significant blood glucose-related indicators and in-hospital mortality. Survivors and non-survivors showed significant differences in Glucose_max, Glucose_mean, Glucose_SD, and Glucose_CV (P < 0.05). Glucose_max, Glucose_mean, Glucose_SD, and Glucose_CV were risk factors for in-hospital mortality in AP patients (OR > 1; P < 0.05). According to the Lowess smoothing curve, the overall trends of blood glucose-related indicators showed a non-linear correlation with in-hospital mortality. Glucose_max, Glucose_mean, Glucose_SD, and Glucose_CV were associated with in-hospital mortality in critically ill patients with AP.


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