Results 11 to 20 of about 2,986 (209)

Direct endoscopic necrosectomy in infected pancreatic necrosis using lumen-apposing metal stents: Early intervention does not compromise outcome [PDF]

Endoscopy International Open, 2021
Background and study aims Infection of pancreatic necrosis is a dreaded complication requiring an intervention. Nevertheless, the optimal timing of the first intervention is unclear, and consensus data are sparse.
David Albers, Alexander Meining, Alexander Hann, Younan Kabara Ayoub, Brigitte Schumacher   +4 more
doaj   +2 more sources

Postponed endoscopic necrosectomy results in a lower rate of additional intervention for infected walled-off necrosis [PDF]

Scientific Reports
Although endoscopic necrosectomy (EN) is more frequently used to manage walled-off necrosis (WON), there is still debate over how much time should pass between the initial stent placement and the first necrosectomy.
Songting Wu, Xiaotan Dou, Na Li, Hao Zhu, Lei Wang, Mingdong Liu, Chenggong Yu   +6 more
doaj   +2 more sources

Standardized approach to removal of lumen apposing metal stents following endoscopic necrosectomy: one size does not fit all [PDF]

Therapeutic Advances in Gastroenterology
Background: Walled-off necrosis (WON) is a sequela of acute necrotizing pancreatitis preferentially managed with lumen apposing metal stents (LAMS). Adverse events including buried stent syndrome and bleeding have been associated with a longer duration ...
Robert Dorrell, Alexa Cecil, Swati Pawa, Gregory Russell, Rishi Pawa   +4 more
doaj   +2 more sources

Open Surgical versus Minimal Invasive Necrosectomy of the Pancreas-A Retrospective Multicenter Analysis of the German Pancreatitis Study Group. [PDF]

PLoS ONE, 2016
Necrotising pancreatitis, and particularly infected necrosis, are still associated with high morbidity and mortality. Since 2011, a step-up approach with lower morbidity rates compared to initial open necrosectomy has been established. However, mortality
Sebastian Rasch, Veit Phillip, Stephanie Reichel, Bettina Rau, Christian Zapf, Jonas Rosendahl, Ulrich Halm, Markus Zachäus, Martin Müller, Alexander Kleger, Albrecht Neesse, Jochen Hampe, Mark Ellrichmann, Felix Rückert, Peter Strauß, Alexander Arlt, Volker Ellenrieder, Thomas M Gress, Werner Hartwig, Ernst Klar, Joachim Mössner, Stefan Post, Roland M Schmid, Thomas Seufferlein, Marco Siech, Jens Werner, Uwe Will, Hana Algül   +27 more
doaj   +4 more sources

Endoscopic Versus Surgical Management for Infected Necrotizing Pancreatitis and Walled-Off Necrosis: A Systematic Review of Randomized Controlled Trials [PDF]

Medicina
Background and Objectives: Infected necrotizing pancreatitis and walled-off necrosis are associated with substantial morbidity and mortality. The evolution from open necrosectomy to minimally invasive and endoscopic strategies has improved outcomes, yet ...
Manuela Mastronardi, Giada Moghnie, Sara Crociato, Chiara Menghini, Alessio Biagio Filippo Giordano, Paola Germani, Margherita Sandano, Nicolò de Manzini, Alan Biloslavo   +8 more
doaj   +2 more sources

Is endoscopic necrosectomy the way to go?

Gastrointestinal Intervention, 2016
Pancreatic necrosis with the formation of walled-off collections is a known complication of severe acute pancreatitis. Infected necrotic pancreatic collections are associated with a high mortality rate.
James Weiquan Li, Tiing Leong Ang
doaj   +3 more sources

Endoscopic Step‐up Approach for Walled‐off Necrosis After Acute Pancreatitis

DEN Open
This review outlines current interventional strategies for treating symptomatic walled‐off necrosis (WON) after necrotizing pancreatitis. Mortality from acute pancreatitis has improved, but late mortality, particularly from infected necrosis, remains a ...
Shuntaro Mukai, Atsushi Sofuni, Takayoshi Tsuchiya, Reina Tanaka, Ryosuke Tonozuka, Yukitoshi Matsunami, Kazumasa Nagai, Hiroyuki Kojima, Hirohito Minami, Noriyuki Hirakawa, Kyoko Asano, Kento Shionoya, Kazuki Hama, Takao Itoi   +13 more
doaj   +2 more sources

Surgery for necrotizing acute pancreatitis: surgical approach, morbidity and challenges encountered: experience from a tertiary care hepatopancreatobiliary unit in Sri Lanka [PDF]

Frontiers in Surgery
BackgroundInfected pancreatic necrosis (IPN) remains a life-threatening complication of acute pancreatitis. While minimally invasive “step-up” strategies are now standard, their implementation in resource-limited settings is often constrained by ...
Duminda Subasinghe, Ravindri Jayasinghe, Nilesh Fernandopulle, Vihara Dassanayake, Sivasuriya Sivaganesh   +4 more
doaj   +2 more sources

A Rare but Life-Threatening Complication of Direct Endoscopic Necrosectomy: Tension Pneumoperitoneum With Pneumothorax and Hypercapnia due to Walled-Off Necrosis Rupture

Case Reports in Gastrointestinal Medicine
Endoscopic ultrasonography (EUS)–guided drainage followed by direct endoscopic necrosectomy (DEN) is widely used as a minimally invasive treatment for walled-off necrosis (WON).
Yasuo Otsuka, Kosuke Minaga, Akane Hara, Mamoru Takenaka, Chihoko Nobori, Takaaki Murase, Ippei Matsumoto, Masatoshi Kudo   +7 more
doaj   +2 more sources

Hydrogen Peroxide Flushes for Necrotizing Pancreatitis in a High-Risk Surgical Patient: A Pathway for Durable Response Without Additional Endoscopic Intervention [PDF]

Case Reports in Gastrointestinal Medicine
Necrotizing pancreatitis (NP) is characterized by severe pancreatic inflammation with necrosis and a systemic inflammatory response. We describe the case of a 32-year-old female with NP successfully treated with a modified protocol using hydrogen ...
Smriti Kochhar, Ibrahim Yaghnam, Kofi Clarke   +2 more
doaj   +2 more sources