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Percutaneous Endoscopic Necrosectomy—A Review of the Literature

In this article, an attempt was made to clarify the role of percutaneous endoscopic necrosectomy (PEN) in the interventional treatment of pancreatic necrosis. A comprehensive review of the current literature was performed to identify publications on the role of PEN in patients with consequences of a...

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Autores principales: Jagielski, Mateusz, Chwarścianek, Agata, Piątkowski, Jacek, Jackowski, Marek
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9324430/
https://www.ncbi.nlm.nih.gov/pubmed/35887696
http://dx.doi.org/10.3390/jcm11143932
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author Jagielski, Mateusz
Chwarścianek, Agata
Piątkowski, Jacek
Jackowski, Marek
author_facet Jagielski, Mateusz
Chwarścianek, Agata
Piątkowski, Jacek
Jackowski, Marek
author_sort Jagielski, Mateusz
collection PubMed
description In this article, an attempt was made to clarify the role of percutaneous endoscopic necrosectomy (PEN) in the interventional treatment of pancreatic necrosis. A comprehensive review of the current literature was performed to identify publications on the role of PEN in patients with consequences of acute necrotizng pancreatitis. The aim of the study was to review the literature on minimal invasive necrosectomy, with emphasis on PEN using esophageal self-expanding metal stents (SEMS). The described results come from 15 studies after a review of the current literature. The study group comprised 52 patients (36 men and 16 women; mean age, 50.87 (13–75) years) with walled-off pancreatic necrosis, in whom PEN using a self-expandable esophageal stent had been performed. PEN was successfully completed in all 52 patients (100%). PEN complications were observed in 18/52 (34.62%) patients. Clinical success was achieved in 42/52 (80.77%) patients, with follow-up continuing for an average of 136 (14–557) days. In conclusion, the PEN technique is potentially effective, with an acceptable rate of complications and may be implemented with good clinical results in patients with pancreatic necrosis.
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spelling pubmed-93244302022-07-27 Percutaneous Endoscopic Necrosectomy—A Review of the Literature Jagielski, Mateusz Chwarścianek, Agata Piątkowski, Jacek Jackowski, Marek J Clin Med Review In this article, an attempt was made to clarify the role of percutaneous endoscopic necrosectomy (PEN) in the interventional treatment of pancreatic necrosis. A comprehensive review of the current literature was performed to identify publications on the role of PEN in patients with consequences of acute necrotizng pancreatitis. The aim of the study was to review the literature on minimal invasive necrosectomy, with emphasis on PEN using esophageal self-expanding metal stents (SEMS). The described results come from 15 studies after a review of the current literature. The study group comprised 52 patients (36 men and 16 women; mean age, 50.87 (13–75) years) with walled-off pancreatic necrosis, in whom PEN using a self-expandable esophageal stent had been performed. PEN was successfully completed in all 52 patients (100%). PEN complications were observed in 18/52 (34.62%) patients. Clinical success was achieved in 42/52 (80.77%) patients, with follow-up continuing for an average of 136 (14–557) days. In conclusion, the PEN technique is potentially effective, with an acceptable rate of complications and may be implemented with good clinical results in patients with pancreatic necrosis. MDPI 2022-07-06 /pmc/articles/PMC9324430/ /pubmed/35887696 http://dx.doi.org/10.3390/jcm11143932 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Jagielski, Mateusz
Chwarścianek, Agata
Piątkowski, Jacek
Jackowski, Marek
Percutaneous Endoscopic Necrosectomy—A Review of the Literature
title Percutaneous Endoscopic Necrosectomy—A Review of the Literature
title_full Percutaneous Endoscopic Necrosectomy—A Review of the Literature
title_fullStr Percutaneous Endoscopic Necrosectomy—A Review of the Literature
title_full_unstemmed Percutaneous Endoscopic Necrosectomy—A Review of the Literature
title_short Percutaneous Endoscopic Necrosectomy—A Review of the Literature
title_sort percutaneous endoscopic necrosectomy—a review of the literature
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9324430/
https://www.ncbi.nlm.nih.gov/pubmed/35887696
http://dx.doi.org/10.3390/jcm11143932
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