Clinical study of percutaneous catheter drainage in 29 cases severe acute pancreatitis        PAN Jie*, SHI  Hai-feng, LI Xiao-guang, et al. *Department of Radiology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730
Corresponding author: Yang Ning  E-mail：markpan6885@qq.com
Abstract    Objective    The purpose of this study was to investigate the value and the timing of percutaneous catheter drainage in the treatment of severe acute pancreatitis. Methods    We retrospectively studied the clinical data of 29 patients (18 men, 11 women; mean age, 38years; range, 23~79 years) with severe acute pancreatitis at Peking Union Medical College Hospital from January 2007to March 2012. All the patients underwent CT-guided percutaneous catheter drainage with 10~18 French catheters. Results    Among 29 patients, 25(86.2%) were treated effectively with CT-guided percutaneous catheter drainage including 19 obviated the need for surgery and 5 underwent surgical intervention 14~49 days (mean 23 days) after drainage. 4 patients(13.8%) were not effectively treated with percutaneous catheter drainage, who were died from infection and organ failure. One patient had bleeding after drainage. Conclusions    When severe acute pancreatitis patients could not have been successfully treated conservatively, the percutaneous catheter drainage could effectively control the sepsis caused by pancreatic necrosis and infection. It could act as a bridge to selective surgery and even obviate the need for surgery.