Progress in treatment of severe acute pancreatitis complicated with abdominal compartment syndrome

doi:10.3877/cma.j.issn.1674-0785.2017.12.008

Abstract

Abstract:

Abdominal compartment syndrome (ACS) is a marker of severe disease in patients with severe acute pancreatitis (SAP). It occurs as a combination of retroperitoneal inflammation, visceral edema, ascites, acute peripancreatic fluid collections, paralytic ileus, and aggressive fluid resuscitation. The frequency of ACS in SAP may be rising due to more aggressive fluid resuscitation. The treatments for ACS include conservative treatment, minimally invasive interventions, and surgery. There remains uncertainty about the most appropriate surgical technique for the treatment of ACS in SAP. Some unresolved questions remain regarding medical treatment, indications, timing, and interventional techniques. This review focuses on the treatment of this serious condition in order to reduce the mortality of SAP by means of timely and effective treatments.

Key words: Severe acute pancreatitis, Abdominal compartment syndrome, Treatment

Qinghuan Yao, Haihong Li, Yu Sun, Linlin Zhao, Yan Wang, Hongyu Jiang, Fengjie Xie. Progress in treatment of severe acute pancreatitis complicated with abdominal compartment syndrome[J]. Chinese Journal of Clinicians(Electronic Edition), 2017, 11(12): 1951-1954.

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References 34

[1]	Ke L, Ni HB, Tong ZH. The importance of timing of decompression in severe acute pancreatitis combined with abdominal compartment syndrome [J]. Trauma Acute Care Surg, 2013, 74(4): 1060-1066.
[2]	van Brunschot S, Schut AJ, Bouwense SA, et al, Abdominal compartment syndrome in acute pancreatitis: a systematic review [J]. Pancreas, 2014, 43(5): 665-674.
[3]	Chen H, Li F, Sun JB, et al. Abdominal compartment syndrome in patients with severe acute pancreatitis in early stage [J]. World J Gastroenterol, 2008, 14(22): 3541-3548.
[4]	Al-Bahrani AZ, Abid GH, Holt A, et al. Clinical relevance of intra-abdominal hypertension in patients with severe acute pancreatitis [J]. Pancreas, 2008, 36(1): 39-43.
[5]	De Waele JJ, Hoste E, Blot SI, et al. Intra-abdominal hypertension in patients with severe acute pancreatitis [J]. Critical Care, 2005, 9(4): 452-457.
[6]	Kirkpatrick AW, Roberts DJ, De Waele J, et al. Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome [J]. Intensive Care Med, 2013, 39(7): 1190-1206.
[7]	Working Group IAP/APA Acute Pancreatitis Guidelines. IAP/APA evidence-based guidelines for the management of acute pancreatitis [J]. Pancreatology, 2013, 13(4): 1-15.
[8]	Gecelter G, Fahoum B, Gardezi S, et al. Abdominal compartment syndrome in severe acute pancreatitis: an indication for a decompressing laparotomy? [J]. Dig Surg, 2002, 19(5): 402-404.
[9]	蔡昊. 重症急性胰腺炎并发腹腔间隔室综合征的诊治 [J]. 实用医学杂志, 2008, 24(17): 3076-3078.
[10]	Dambrauskas Z, Parseliunas A, Gulbinas A, et al. Early recognition of abdominal compartment syndrome in patients with acute pancreatitis [J]. World J Gastroenterol, 2009, 15(6): 717-721.
[11]	Deng ZG, Zhou JY, Yin ZY, et al. Continuous regional arterial infusion and laparotomic decompression for severe acute pancreatitis with abdominal compartment syndrome [J]. World J Gastroenterol, 2011, 17(44): 4911-4916.
[12]	Davis PJB, Eltawil KM, Abu-Wasel B, et al. Effect of obesity and decompressive laparotomy on mortality in acute pancreatitis requiring intensive care unitadmission [J]. World J Surg, 2013, 37(2): 318-332.
[13]	刘文娜. 腹腔间隔室综合征最新研究进展 [J]. 实用医学杂志, 2015, 31(23): 3959-3962.
[14]	赵丹丹. 急性重症胰腺炎并发腹腔间隔室综合征的研究进展 [J]. 国际消化病杂志, 2014, 6(34): 383-384.
[15]	Mentula P, Hienonen P, Kemppainen E, et al. Surgical decompression for abdominal compartment syndrome in severe acute pancreatitis [J]. Arch Surg, 2010, 145(8), 764-769.
[16]	Boone B, Zureikat A, Hughes SJ, et al. Abdominal compartment syndrome is an early, lethal complication of acute pancreatitis [J]. Am Surg, 2013, 79(6): 601-607.
[17]	蔡玲，朱惠明. 重症急性胰腺炎并发腹腔间隔室综合征的治疗现状 [J]. 广东医学, 2013, 1(34): 153-157.
[18]	中华医学会消化病学分会胰腺疾病学组，中华胰腺病杂志编辑委员会，中华消化杂志编辑委员会. 中国急性胰腺炎诊治指南(2013年, 上海) [J]. 中华消化杂志, 2013, 33(4): 217-222.
[19]	Tao HQ. Clinical characteristics and management of patients with eaely acute severe pancreatitis: experience from a medical Center in China [J]. World J Gastroenterol, 2004, 10(6): 919-921.
[20]	Sawchuck DJ, Witt mann BK. Pre-eclampsia renamed and reframed: Intra-abdominal hypertension in pregnancy [J]. Med Hypotheses, 2014 , 83(5): 619-632.
[21]	Deeren DH, Dits H, Malbrain HL. Correlation between intra-abdominal and intracranial pressure in nontraumatic brain injury [J]. Intensive Care Med, 2005, 31(11): 1577-1581.
[22]	胡苏. 足三里穴位下肌注新斯的明对危重症肠内营养治疗并发腹泻患者的疗效 [J]. 陕西中医, 2016, 1(37): 107-108.
[23]	Peker KD. Colonoscopicdecom pression should be used before neostigmine in the treatment of Ogilv′s syndrome [J]. Eur J Trauma Emerg Surg, 2016, 7(8): 1-10.
[24]	Sun ZX, Huang HR, Zhou H. Indwelling catheter and conservative measures in the treatment of abdominal compartment syndrome in fulminant acute pancreatitis [J]. World J Gastroenterol, 2006, 12(31): 5068-5070.
[25]	Reed SF, Britt RC, Collins J, et al. Aggressive surveillance and early catheter-directed therapy in the management of intra-abdominal hypertension [J]. J Trauma, 2006, 61(6): 1359-1363.
[26]	Reckard JM, Chung MH, Varma MK, et al. Management of abdominal hypertension by percutaneous catheter drainage [J]. J Vasc Interv Radiol, 2005, 16(7): 1019-1021.
[27]	Leppäniemi A, Mentula P, Hienonen P, et al. Transverse laparostomy is feasible and effective in the treatment of abdominal compartment syndrome in severe acute Pancreatitis [J]. World J Emerg Surg, 2008, 30(3) : 6.
[28]	Leppäniemi A. Surgical management of abdominal compartment syndrome: indications and techniques [J]. Scand J Trauma, Resusc Emerg Med, 2009, 17: 17.
[29]	Wong K, Summerhays CF. Abdominal compartment syndrome: a new indication for operative intervention in severe acute pancreatitis [J]. Int J Clin Pract, 2005, 59(21): 1479-1481.
[30]	De Waele JJ, Leppäniemi AK. Intra-abdominal hypertension in acute pancreatitis [J]. Anaesthesiol Intensive Ther, 2015, 47(3): 219-227.
[31]	Radenkovic DV, Bajec D, Ivancevic N, et al. Decompressive laparotomy with temporary abdominal closure versus percutaneous puncture with placement of abdominal catheter in patients with abdominal compartment syndrome during acute pancreatitis: background and design of multicenter, randomised, controlled study [J]. BMC Surgery, 2010, 10: 22.
[32]	Leppäniemi A, Hienonen P, Mentula P, et al. Subcutaneous linea alba fasciotomy, does it really work? [J]. Am Surg, 2011, 77(1): 99-102.
[33]	Dambrauskas Z, Parseliunas A, Maleckas A, et al. Interventional and surgical management of abdominal compartment syndrome in severe acute Pancreatitis [J]. Medicina, 2010, 46(4): 249-255.
[34]	陈奕金. 重症急性胰腺炎并发腹腔间隔室综合征的诊断与治疗经验探析 [J]. 临床医学, 2016, 6(36): 61-62.

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