[Intraabdominal hypertension and abdominal compartment syndrome in patients with acute pancreatitis].
BACKGROUND
Intra-abdominal pressure rises in some circumstances and can cause abdominal compartment syndrome. Severe acute pancreatitis frequently causes abdominal compartment syndrome.


OBJECTIVE
Our objective was to identify the relationship between severity of pancreatitis and abdominal pressure.


METHODS
From September 2001 to September 2002, all patients with acute severe pancreatitis were included in the study; exclusion was effected with history of abdominal surgery for pancreatitis or ventral hernias. In all patients, we carried out laboratory tests to establish ranson criteria, Apache II score, and indirect measurement of abdominal pressure. Lineal regression and chi-square test were done.


RESULTS
A total of 25 patients was included, 10 men and 15 women, average age 49.4 years, 11 with mild pancreatitis and 14 with severe acute pancreatitis. Abdominal pressure was 2 to 19 cm H2O. On statistic analysis, there was strong positive correlation between Apache II score and IAP and 0.781 of correlation coefficient and 99.5% confidence interval.
de la Fuente-Lira
Mauricio
M
Servicio de Cirugía Gastrointestinal del Hospital de Especialidades Centro Médico Nacional Siglo XXI. IMSS México DF. delafuente1@hotmail.com
Cobos-González
Ernesto
E
Gallo-Arriaga
Benjamín
B
Bojalil-Durán
Luis
L
D000005:Abdomen; D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003161:Compartment Syndromes / Q000209:etiology*; D005260:Female; D006801:Humans; D006973:Hypertension / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000150:complications*; D012720:Severity of Illness Index; D055815:Young Adult