2003, Number 2
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Cir Cir 2003; 71 (2)
Intraabdominal hypertension and abdominal compartment Syndrome in patients with acute pancreatitis
de la Fuente-Lira M , Cobos-González E , Gallo-Arriaga B, Bojalil-Durán L
Language: Spanish
References: 25
Page: 107-111
PDF size: 50.86 Kb.
ABSTRACT
Background: Intra-abdominal pressure rises in some circumstances and
can cause abdominal compartment syndrome. Severe acute pancreatitis frequently
causes abdominal compartment syndrome.
Objective: Our objective was to
identify the relationship between severity of pancreatitis and abdominal pressure.
Material and methods: From September 2001 to September 2002, all patients
with acute severe pancreatitis were included in the study; exclusion was effected
with history of abdominal surgery for pancreatitis or ventral hernias. In all
patients, we carried out laboratory tests to establish ranson criteria, Apache
II score, and indirect measurement of abdominal pressure. Lineal regression
and chi-square test were done.
Results: A total of 25 patients was included,
10 men and 15 women, average age 49.4 years, 11 with mild pancreatitis and 14
with severe acute pancreatitis. Abdominal pressure was 2 to 19 cm H
2O. On statistic
analysis, there was strong positive correlation between Apache II score and
IAP and 0.781 of correlation coefficient and 99.5% confidence interval.
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