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• W3017577908 abstract "Abstract Objective Intra-abdominal hypertension (IAH) can adversely affect the outcome in patients of acute pancreatitis (AP). Effect of percutaneous drainage (PCD) on IAH has not been studied. We studied the effect of PCD on IAH in patients with acute fluid collections. Material and methods Consecutive patients of AP undergoing PCD between Jan 2016 and May 2018 were evaluated for severity markers, clinical course, hospital and ICU stay, and mortality. Patients were divided into two groups: with IAH and with no IAH (NIAH). The two groups were compared for severity scores, organ failure, hospital and ICU stay, reduction in IAP and mortality. Results Of the 105 patients, IAH was present in 48 (45.7%) patients. Patients with IAH had more often severe disease, BISAP ≥2, higher APACHE II scores and computed tomography severity index (CTSI). IAH group had more often OF (87.5% vs. 70.2%, p = 0.033), prolonged ICU stay (12.5 vs. 6.75 days, p = 0.007) and higher mortality (52.1% vs. 15.8%, p  40% at 48 h after PCD was associated with better survival (63.3% vs. 36.7%, p = 0.006). Conclusion We observed that patients with IAH have poor outcome. PCD decreases IAP and a fall in IAP >40% of baseline value predicts a better outcome after PCD in patients with acute fluid collections." @default.
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• W3017577908 date "2020-06-01" @default.
• W3017577908 modified "2023-10-18" @default.
• W3017577908 title "Reduction of intra-abdominal pressure after percutaneous catheter drainage of pancreatic fluid collection predicts survival" @default.
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• W3017577908 doi "https://doi.org/10.1016/j.pan.2020.04.012" @default.
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