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10.3748/wjg.v22.i9.2828

http://scihub22266oqcxt.onion/10.3748/wjg.v22.i9.2828
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C4778005!4778005!26973421
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suck abstract from ncbi


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pmid26973421      World+J+Gastroenterol 2016 ; 22 (9): 2828-36
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  • Early complications after interventions in patients with acute pancreatitis #MMPMID26973421
  • Wei AL; Guo Q; Wang MJ; Hu WM; Zhang ZD
  • World J Gastroenterol 2016[Mar]; 22 (9): 2828-36 PMID26973421show ga
  • AIM: To identify the possible predictors of early complications after the initial intervention in acute necrotizing pancreatitis.METHODS: We collected the medical records of 334 patients with acute necrotizing pancreatitis who received initial intervention in our center. Complications associated with predictors were analyzed.RESULTS: The postoperative mortality rate was 16% (53/334). Up to 31% of patients were successfully treated with percutaneous catheter drainage alone. The rates of intra-abdominal bleeding, colonic fistula, and progressive infection were 15% (50/334), 20% (68/334), and 26% (87/334), respectively. Multivariate analysis indicated that Marshall score upon admission, multiple organ failure, preoperative respiratory infection, and sepsis were the predictors of postoperative progressive infection (P < 0.05). Single organ failure, systemic inflammatory response syndrome upon admission, and C-reactive protein level upon admission were the risk factors of postoperative colonic fistula (P < 0.05). Moreover, preoperative Marshall score, organ failure, sepsis, and preoperative systemic inflammatory response syndrome were the risk factors of postoperative intra-abdominal bleeding (P < 0.05).CONCLUSION: Marshall score, organ failures, preoperative respiratory infection, sepsis, preoperative systemic inflammatory response syndrome, and C-reactive protein level upon admission are associated with postoperative complications.
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