Embryonal Natural Orifice Transluminal Endoscopic Surgery Treating Severe Acute Pancreatitis Complicated by Abdominal Compartment Syndrome

作者：Zhu, Huiming^*; Liao, Xiumin; Guo, Shaoqing; Xiong, Gaofei; Jiang, Di; Liu, Yujie

来源：Hepato-Gastroenterology, 2014, 61(135): 2096-2101.

DOI：10.5754/hge13688

• Embryonal natural orifice translumial endoscopic surgery (ENOTES)
• flexible endoscope
• peritoneal lavage
• peritoneal dialysis
• severe acute pancreatitis (SAP)
• abdominal compartment syndrome (ACS)

Background/Aims: This study aims to estimate the value of embryonal natural orifice translummal endoscopic surgery (ENOTES) as a treatment for severe acute pancreatitis (SAP) complicated by abdominal compartent syndrome (ACS). Methodology: The patients who were randomized into ENOTES group and surgery group underwent ENOTES and laparotomy, respectively. The Efficacy and complications of these two treatments were compared. Results: Enterocinesia was observed earlier in patients of ENOTES group than that of surgery group. Acute Physiology and Chronic Health Evaluation superior to that of surgery group on the 1st, 3rd and 5th day after treatment (P < 0.05). The cure rate was 96.87% in ENOTES group, which was statistically different from 78.12% in surgery group (P < 0.05). Significant differences in complications and mortality were observe between two groups (P < 0.01). Conclusion: Compare with surgical abdominal decompression, ENOTES an flexible endoscope therapy is a more effective and minimal invasive surgery withless complications.

• 出版日期2014-10
• 单位中山大学