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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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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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. |
format | Online Article Text |
id | pubmed-9324430 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
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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