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Endoscopic transluminal drainage of infected pancreatic necrosis
Khirurgiya. Zhurnal im. N.I. Pirogova, 2021To report initial experience of endoscopic transluminal drainage of infected pancreatic necrosis.There were 8 patients with acute severe pancreatitis and large-focal pancreatic necrosis who underwent transluminal drainage of destruction zones for the period from December 2018 to October 2019.Transluminal drainage of pancreatogenic destruction zones in ...
Yu S, Teterin +5 more
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Etiology and pathogenesis of infected pancreatic necrosis
Khirurgiya. Zhurnal im. N.I. Pirogova, 2022Modern literature data confirm the central role of intestinal barrier complex not only as a target in acute necrotizing pancreatitis, but also as a trigger for septic complications. Intra-abdominal hypertension, endothelial dysfunction and gut microbiome changes following necrotizing pancreatitis might have an independent impact on acute intestinal ...
Yu.S. Vinnik +2 more
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Infected pancreatic necrosis: minimizing the cut
ANZ Journal of Surgery, 2010AbstractThe challenge for the pancreatologist managing patients with infected pancreatic necrosis is to devise a treatment algorithm that enables recovery but at the same time limits the morbidity and mortality. The current gold standard remains open necrosectomy.
Wysocki, Arkadiusz Peter +2 more
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Endoscopic transluminal drainage for infected pancreatic necrosis
Khirurgiya. Zhurnal im. N.I. Pirogova, 2022To evaluate the effectiveness of intraluminal drainage of acute fluid accumulations for infected pancreatic necrosis.There were 848 patients with acute pancreatitis between January 2018 and December 2020 at the Sklifosovsky Research Institute for Emergency Care. Necrotizing pancreatitis was detected in 232 (27.4%) patients.
Yu S, Teterin +6 more
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The microbiology of infected pancreatic necrosis
Hepatobiliary & Pancreatic Diseases International, 2018Acute pancreatitis (AP) continues to cause significant morbidity and mortality, especially when it leads to infected pancreatic necrosis (IPN). Modern treatment of IPN frequently involves prolonged courses of antibiotics in combination with minimally invasive therapies.
Nicholas G, Mowbray +4 more
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International journal of pancreatology, 1994
We have attempted here to address the problems relating to the pathophysiology, identification and treatment of IPN. The diagnostic role of radiology and of examination of culture samples obtained under its guidance is stressed as the gold standard in all cases where clinical findings have yielded a suspicion of superinfection.
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We have attempted here to address the problems relating to the pathophysiology, identification and treatment of IPN. The diagnostic role of radiology and of examination of culture samples obtained under its guidance is stressed as the gold standard in all cases where clinical findings have yielded a suspicion of superinfection.
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Management of infected pancreatic necrosis
Current Gastroenterology Reports, 2008The past two decades have seen major advances in the understanding and clinical management of acute pancreatitis, yet it still lacks a specific treatment, and management is largely supportive and reactive. Surgery is seeing a diminishing role in the early phase of acute pancreatitis but still predominates in the management of infected pancreatic ...
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Pancreatic abscess and infected pancreatic necrosis
Digestive Diseases and Sciences, 1987Local septic complications in acute pancreatitis need to be exactly characterized and defined in order to develop improved concepts for their prevention, early diagnosis, and therapy. While up to now all local septic complications have been termed abscesses, the present study for the first time delineates the morphologic, clinical, and laboratory ...
R, Bittner +3 more
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Sterile and Infected Pancreatic Necrosis
2014Acute necrotizing pancreatitis is a complication of acute pancreatitis that carries high morbidity and mortality. The majority of patients have sterile necrosis, which can be managed conservatively. However, in contrast, patients with infected necrosis often require drainage or debridement.
Elham Afghani, Vikesh K. Singh
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Minimally Invasive Debridement for Infected Pancreatic Necrosis
Journal of Gastrointestinal Surgery, 2019Necrotizing pancreatitis has historically been treated with open necrosectomy, which carries a high morbidity and mortality rate. More recently, there has been a shift towards endoscopic and percutaneous approaches employed as part of a minimally invasive step-up approach.
Zhi Ven Fong, Peter J. Fagenholz
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