Endoscopic management of pancreatic complications at Hospital Nacional de Itauguá, Paraguay. Period january 2017 to june 2019

Abstract

During the course of the Acute Pancreatitis, it should be classified according to local and systemic conditions, and at the same time if these are transitory or persistent in order to know and take into account morbidity and mortality and treat according to the case. The risk of mortality is less than 1% among those with mild disease, increases to about 10% for those with moderate disease, but in severe and critical pancreatitis the risk of mortality is much higher (20 to 40% and more than 50%, respectively)⁽²⁾. Among the most frequent local complications of AP we mention sterile fluid collections, sterile and infected pancreatic and peri-pancreatic necrosis, organized pancreatic necrosis (walled off necrosis- WON), pancreatic pseudocysts^(2,3). There are also other similar complications but of another etiology such as post-traumatic pseudocyst. All these pancreatic complications require appropriate treatment and, depending on the indication, in some, it is very timely and safe to use the endoscopic route in our hospital for their resolution. Through a retrospective, descriptive cross-sectional study, the endoscopic resolution of local complications of AP will be described in the general surgery service of the National Hospital of Itauguá.