Endoscopic necrosectomy for walled-off pancreatic necrosis
- PMID: 22977825
- PMCID: PMC3429759
- DOI: 10.5946/ce.2012.45.3.313
Endoscopic necrosectomy for walled-off pancreatic necrosis
Abstract
Approximately 20% of patients with acute pancreatitis develop pancreatic necrosis with significant mortality. Surgical debridement is the traditional management of necrotizing pancreatitis, but it is associated with significant morbidity and mortality. Endoscopic necrosectomy using repeats session of debridement and stent insertion has been more frequently used within the last decade and half. This technique continues to evolve as we attempt to optimize the post-procedural outcomes.
Keywords: Endoscopic necrosectomy; Necrosis; Pancreas.
Conflict of interest statement
The author has no financial conflicts of interest.
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References
-
- Banks PA, Freeman ML Practice Parameters Committee of the American College of Gastroenterology. Practice guidelines in acute pancreatitis. Am J Gastroenterol. 2006;101:2379–2400. - PubMed
-
- Baillie J. Pancreatic pseudocysts (Part II) Gastrointest Endosc. 2004;60:105–113. - PubMed
-
- Arvanitakis M, Delhaye M, Chamlou R, et al. Endoscopic therapy for main pancreatic-duct rupture after Silastic-ring vertical gastroplasty. Gastrointest Endosc. 2005;62:143–151. - PubMed
-
- Bradley EL, Clements JL, Jr, Gonzalez AC. The natural history of pancreatic pseudocysts: a unified concept of management. Am J Surg. 1979;137:135–141. - PubMed
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