Necrotizing pancreatitis post-CABG: Afatal complication. Case report
Pancreatitis necrotizantepos-CABG, una complicación mortal.Informe de caso
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Necrotizing pancreatitis post-CABG (Coronary Artery Bypass Grafting) is a complication arising from splanchnic hypoperfusion secondary to hemodynamic stress due
to the lack of autoregulation in response to decreased blood pressure and persistent
vasoconstriction during the procedure. Its incidence is approximately 0.2 % to 3 %,
with an estimated mortality rate of about 39 %. The diagnosis is primarily based on
clinical presentation and imaging findings. Treatment after diagnosis focuses on
minimally invasive techniques. We describe a case of necrotizing pancreatitis in a
postoperative CABG patient who develops abdominal pain followed by multisystem
involvement.
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- Muñoz D, Medina R, Botache WF, Arrieta RE. Pancreatitis aguda: puntos clave. Revisión argumentativa de la literatura. Revista Colombiana de Cirugía 2023;38:339–51. https://doi.org/10.30944/20117582.2206.
- Rosenberg A, Steensma EA, Napolitano LM. Necrotizing Pancreatitis: New Definitions and a New Era in Surgical Management. Surgical Infections 2015;16:1–13. https://doi.org/10.1089/sur.2014.123.
- Shyu JY, Sainani NI, Sahni VA, Chick JF, Chauhan NR, Conwell DL, et al. Necrotizing pancreatitis: diagnosis, imaging, and intervention. Radiographics 2014;34:1218–39. https://doi.org/10.1148/rg.345130012.
- Allen SJ. Gastrointestinal complications and cardiac surgery. The Journal of ExtraCorporeal Technology 2014;46:142–9. https://doi.org/10.1051/ject/201446142.
- Croome KP, Kiaii B, Fox S, Quantz M, McKenzie N, Novick RJ. Comparison of gastrointestinal complications in on-pump versus off-pump coronary artery bypass grafting. Canadian Journal of Surgery 2009;52:125.
- Haas GS, Warshaw AL, Daggett WM, Aretz HT. Acute pancreatitis after cardiopulmonary bypass. The American Journal of Surgery 1985;149:508–15. https://doi.org/10.1016/S0002-9610(85)80048-9.
- Manuel Tarelo Saucedo J, José Jacobo Valdivieso E, Antonio Omaña Toledo J, Díaz Quiroz G, Archundia García A, Enrique Martínez Corral M, et al. Pancreatitis necrótico-hemorrágica secundaria a derivación cardiopulmonar en cirugía valvular cardiaca. Rev Esp Méd Quir 2012;17:131–6. https:// doi.org/473/47323278012
- Mezzano G, Orellana F, Zoltán A. Pancreatitis post quirúrgica : una entidad clínica para recordar. Gastroenterologia Latinoamericana 2015;26:101–4. https://doi.org/10.0716/gastrolat2015n200004
- Bugiantella W, Rondelli F, Boni M, Stella P, Polistena A, Sanguinetti A, et al. Necrotizing pancreatitis: A review of the interventions. International Journal of Surgery 2016;28:S163–71. https://doi.org/10.1016/j.ijsu.2015.12.038.
- Chung JW, Ryu SH, Jo JH, Park JY, Lee S, Park SW, et al. Clinical implications and risk factors of acute pancreatitis after cardiac valve surgery. Yonsei Medical Journal 2013;54:154–9. https://doi.org/10.3349/ymj.2013.54.1.154.
- Denli Yalvaç EŞ, Aldağ M, Kocaaslan C, Şenateş E, Aydın E. Acute pancreatitis after coronary artery bypass surgery treated by plasmapheresis. The Turkish Journal of Gastroenterology : The Official Journal of Turkish Society of Gastroenterology 2018;29:103–5. https://doi.org/10.5152/tjg.2017.17427.
- Bolcal C, Iyem H, Sargin M, Mataraci I, şahin MA, Temizkan V, et al. Gastrointestinal complications after cardiopulmonary bypass: sixteen years of experience. Canadian Journal of Gastroenterology and Hepatology 2005;19:613–7. https://doi.org/10.1155/2005/975612
- Geissler HJ, Fischer UM, Grunert S, Kuhn-Régnier F, Hoelscher A, Schwinger RHG, et al. Incidence and outcome of gastrointestinal complications after cardiopulmonary bypass. Interactive CardioVascular and Thoracic Surgery 2006;5:239–42. https://doi.org/10.1510/icvts.2005.117382
- Perugini RA, Orr RK, Porter D, Dumas EM, Maini BS. Gastrointestinal complications following cardiac surgery: an analysis of 1477 cardiac surgery patients. Archives of Surgery 1997;132:352–7. https://doi.org/10.1001/archsurg.1997.01430280026003