Draining The Paracolic Gutters Without Surgery

During the index admission abscess drainage was performed in 21 patients of which 19 patients were successfully managed without surgery on the index admission and two patients ultimately required surgery.

Draining the paracolic gutters without surgery.

Transcutaneous endoscopic necrosectomy for walled off pancreatic necrosis in the paracolic gutter article pdf available in journal of clinical gastroenterology 52 5 1 july 2017 with 114 reads. Its origin lies on the right side origin of the right paracolic gutter lies at the ascending portion of the colon at the right hepatic flexure or the point where the ascending colon turns at a right angle to form the transverse colon. In severe cases necrosis and inflammation can extend caudally toward the retroperitoneal spaces near the paracolic gutters. Those patients conventionally have undergone percutaneous drainage with a small caliber catheter or surgical debridement for management.

The right lateral paracolic gutter runs along the right side of the cavity of the abdomen. 1 from 50 120 ml d from all the drains before the administration of nac to up to 500 ml d from the drain in the paracolic gutter 9 days after starting nac. We measured the drain output daily and noted a marked increase fig. Overall 104 78 patients underwent successful conservative treatment whereas 30 22 patients underwent surgery during admission.