• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / Minimal invasive techniques together with modern intensive care decreases mortality in severe necrotising pancreatitis

Minimal invasive techniques together with modern intensive care decreases mortality in severe necrotising pancreatitis

Per-Ola Park, Associate Professor, Frida Svensson, MD, Josefine Pettersson, MD, Maria Bergstrom, MD, PhD. Department of Surgery, South Alvsborgs Hospital

Introduction: Severe pancreatitis with necrosis has traditionally been treated with laparotomy and surgical necrosectomy, often resulting in high morbidity and mortality. During recent years, standard of care has shifted towards minimal invasive interventions seemingly decreasing morbidity and mortality. Simultaneously intensive care has evolved and contributes to better treatment results.

Methods: Retrospective study of case files comparing two time periods; 2000-2005 (previous group) with 2010-2015 (recent group) in a single centre. Severe pancreatitis was defined as organ failure for >48 hours. Patients with verified pancreatitis and > 48 hours in the ICU were included. Patient age, total hospital stay, ICU stay, surgical or minimal invasive interventions and mortality were recorded. All interventions related to the same episode of pancreatitis were included. Minimal invasive interventions include transgastric and percutaneous drainages.

Results: A total of 66 patients were identified, 38 in the previous group and 28 in the recent group. There were no differences in age (median 58,5(16-82)), time in ICU (median 5(2-67)) or total hospital stay (median 22(2-224)) between the groups.

During 2000-2005 5/38 patients had an acute open necrosectomy and 2 patients had an acute laparotomy due to colonic perforation/colonic obstruction. 3/38 received a percutaneous drainage. Two patients were operated with cyst marsupialization and necrosectomy at a later stage. In the recent group no open necrosectomies were performed but 3/28 patients had a laparotomy due to colonic perforation. 11/28 had a minimal invasive drainage; 5 transgastric, 3 percutaneous and 3 combined.

There was a significant difference in mortality between the two time-periods, 10/38 patients died during 2000-2005 and 1/28 died during 2010-2015 (p=0,01). Those who died were significantly older (69 years (51-79)) than the survivors (69 y (51-79)) (p=0,01). Five of the patients who died in the previous group died without any intervention. 4/5 of those who had an acute open necrosectomy died. Surgical necrosectomy correlated significantly with mortality (p=0,002). The only patient who died in the recent group died without any intervention. None of the 11 patients receiving minimal invasive drainage in this group died.

Conclusion: Mortality due to severe necrotising pancreatitis has decreased significantly with the introduction of minimal invasive techniques for drainage of pancreatic necrosis and abscesses. The simultaneous improvements in intensive care regimes may also contribute to better survival for these patients.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 88044

Program Number: P723

Presentation Session: iPoster Session (Non CME)

Presentation Type: Poster

38

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals