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Laparoscopic transgastric pancreatic necrosectomy for infected pancreatic necrosis
Surgical Endoscopy, 2003Secondary infection of pancreatic necrosis is an indication for surgical debridement, and has traditionally been treated by laparotomy, and more recently by laparoscopic transmesocolic or transgastrocolic and retroperitoneoscopic approaches. This report describes and evaluates the safety and feasibility of a laparoscopic transgastric approach to ...
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Bacterial Infection of Pancreatic Necrosis
1987Parts of the results of our prospective clinical trial concerning the role of bacterial infection in necrotizing pancreatitis have been described elsewhere in this book [3]. Further evaluation of these data makes possible a contribution to the search for indications for operation in necrotizing pancreatitis.
R. Roscher, H. G. Beger
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Infected Necrosis and Pancreatic Abscess
2002Infected necrosis (IN) and pancreatic abscess (PA) are septic complications of acute pancreatitis (AP), and are characterised by a severe prognosis and high mortality rates (20–40%). The overall incidence is 3–8% and can reach 60% in cases of acute necrotizing pancreatitis.
Domenico Marrano +3 more
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Current Surgical Management of Infected Pancreatic Necrosis
The American Surgeon™, 2010Infected pancreatic necrosis (IPN) continues to be a challenging problem for the surgeon. We reviewed the experience on a hepatobiliary surgical service with patients who required operative intervention for IPN with emphasis on surgical approach, timing of surgery, and complications. Between 2002 and 2008, 21 patients underwent surgery for IPN.
Brendan, Boland +5 more
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Retroperitoneoscopy in the management of drained infected pancreatic necrosis
Gastrointestinal Endoscopy, 2001Bacterial infection secondary to pancreatic necrosis occurs in 40% to 70% of patients with severe acute pancreatitis.1 When infected pancreatic necrosis is present, as demonstrated by CT and detection of bacteria on needle aspiration of the necrotic area,2 surgical drainage is indicated via either the transperitoneal3 or extraperitoneal translumbar ...
G, Castellanos +6 more
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Diagnosis of Infected Pancreatic Necrosis
1997No more than a decade ago, the whole issue of the clinical significance, diagnosis, therapy and prevention of infected pancreatic necrosis was only barely perceived by pancreatologists. It was only as recently as 1986 and 1987 that two elegant prospective studies were published by Beger et al. [1] and Gerzof et al.
C. Bassi +7 more
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The Efficacy of Nonsurgical Treatment of Infected Pancreatic Necrosis
Pancreas, 2007We conducted this study to evaluate the efficacy of nonsurgical treatment for patients with infected pancreatic necrosis (IPN).Among 224 patients with acute pancreatitis from 2000 to 2004, there were 31 patients diagnosed as having IPN complication. The diagnostic criteria for IPN were either a positive culture or free gas in the pancreas of patients ...
Jun Kyu, Lee +7 more
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Pancreatic Necrosis and Infections in Patients With Acute Pancreatitis
2005The majority of patients with acute pancreatitis (AP) have a mild “edematous” form of the disease with a self-limited course devoid of serious local or systemic sequelae. However, in 3–5% of patients (10–20% in tertiary referral centers), a more severe form involving pancreatic and/or peripancreatic necrosis occurs. Necrotizing pancreatitis is the most
Michael L. Kendrick, Michael G. Sarr
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Progress in the Management and Treatment of Infected Pancreatic Necrosis
Scandinavian Journal of Gastroenterology, 1998Infected pancreatic necrosis and sepsis are the leading causes of mortality in necrotizing pancreatitis. A review has been undertaken of the results of the past two decades relating to different surgical treatments of infected pancreatic necrosis. During the period 1978-85, the surgical treatment of necrotizing pancreatitis and its complications in our
G, Farkas +4 more
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Clinical regression of infected pancreatic necrosis
International journal of pancreatology, 1991Infected pancreatic necrosis was diagnosed clinically and radiologically in a patient admitted for acute pancreatitis. As free gas in the pancreatic area was recognized, antibiotic therapy (ceftriaxone) was empirically introduced, while surgical drainage was being planned. After the second week, the patient rapidly started to improve, to the point that
J, Faintuch +4 more
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