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Endoscopic Transmural Drainage and Necrosectomy in Acute Necrotizing Pancreatitis: A Review
Acute necrotizing pancreatitis occurs in 10%–20% of patients with acute pancreatitis (AP) which is one of the most important acute abdominal diseases that require hospital admission. Pancreatic necrosis is also associated with high mortality and morbidity. In the past 20 years, the treatment of panc...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sciendo
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8629413/ https://www.ncbi.nlm.nih.gov/pubmed/34900627 http://dx.doi.org/10.2478/jtim-2021-0031 |
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author | Feng, Linlin Guo, Jintao Wang, Sheng Liu, Xiang Ge, Nan Wang, Guoxin Sun, Siyu |
author_facet | Feng, Linlin Guo, Jintao Wang, Sheng Liu, Xiang Ge, Nan Wang, Guoxin Sun, Siyu |
author_sort | Feng, Linlin |
collection | PubMed |
description | Acute necrotizing pancreatitis occurs in 10%–20% of patients with acute pancreatitis (AP) which is one of the most important acute abdominal diseases that require hospital admission. Pancreatic necrosis is also associated with high mortality and morbidity. In the past 20 years, the treatment of pancreatic necrosis has shifted from open necrosectomy to minimally invasive techniques, such as endoscopic interventions. With the development of endoscopic techniques, the safety and effectiveness of endoscopic interventions have improved, but there exist several unresolved problems. Currently, there is no unified standard approach for endoscopic treatment of pancreatic necrosis that takes into account local expertise, anatomical features of necrosis, patients’ preferences, and comorbidity profile. We reviewed the current status of endoscopic therapy for acute necrotizing pancreatitis, focusing on the new endoscopic drainage technique and necrosectomy protocol. |
format | Online Article Text |
id | pubmed-8629413 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Sciendo |
record_format | MEDLINE/PubMed |
spelling | pubmed-86294132021-12-10 Endoscopic Transmural Drainage and Necrosectomy in Acute Necrotizing Pancreatitis: A Review Feng, Linlin Guo, Jintao Wang, Sheng Liu, Xiang Ge, Nan Wang, Guoxin Sun, Siyu J Transl Int Med Review Article Acute necrotizing pancreatitis occurs in 10%–20% of patients with acute pancreatitis (AP) which is one of the most important acute abdominal diseases that require hospital admission. Pancreatic necrosis is also associated with high mortality and morbidity. In the past 20 years, the treatment of pancreatic necrosis has shifted from open necrosectomy to minimally invasive techniques, such as endoscopic interventions. With the development of endoscopic techniques, the safety and effectiveness of endoscopic interventions have improved, but there exist several unresolved problems. Currently, there is no unified standard approach for endoscopic treatment of pancreatic necrosis that takes into account local expertise, anatomical features of necrosis, patients’ preferences, and comorbidity profile. We reviewed the current status of endoscopic therapy for acute necrotizing pancreatitis, focusing on the new endoscopic drainage technique and necrosectomy protocol. Sciendo 2021-09-28 /pmc/articles/PMC8629413/ /pubmed/34900627 http://dx.doi.org/10.2478/jtim-2021-0031 Text en © 2021 Linlin Feng, Jintao Guo, Sheng Wang, Xiang Liu, Nan Ge, Guoxin Wang, Siyu Sun, published by Sciendo https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. |
spellingShingle | Review Article Feng, Linlin Guo, Jintao Wang, Sheng Liu, Xiang Ge, Nan Wang, Guoxin Sun, Siyu Endoscopic Transmural Drainage and Necrosectomy in Acute Necrotizing Pancreatitis: A Review |
title | Endoscopic Transmural Drainage and Necrosectomy in Acute Necrotizing Pancreatitis: A Review |
title_full | Endoscopic Transmural Drainage and Necrosectomy in Acute Necrotizing Pancreatitis: A Review |
title_fullStr | Endoscopic Transmural Drainage and Necrosectomy in Acute Necrotizing Pancreatitis: A Review |
title_full_unstemmed | Endoscopic Transmural Drainage and Necrosectomy in Acute Necrotizing Pancreatitis: A Review |
title_short | Endoscopic Transmural Drainage and Necrosectomy in Acute Necrotizing Pancreatitis: A Review |
title_sort | endoscopic transmural drainage and necrosectomy in acute necrotizing pancreatitis: a review |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8629413/ https://www.ncbi.nlm.nih.gov/pubmed/34900627 http://dx.doi.org/10.2478/jtim-2021-0031 |
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