Results 11 to 20 of about 3,265 (211)

Safety of endoscopic pancreatic necrosectomy compared with percutaneous and surgical necrosectomy: a nationwide inpatient study

Endoscopy International Open, 2023
Background and study aims Pancreatic necrosis is an independent predictor of morbidity and mortality among patients with acute pancreatitis. We compared the safety and outcomes of three techniques including endoscopic necrosectomy, fluoroscopy-guided ...
Daryl Ramai, Dan M. McEntire, Kameron Tavakolian, Joseph Heaton, Saurabh Chandan, Banreet Dhindsa, Amaninder Dhaliwal, Marcello Maida, Andrea Anderloni, Antonio Facciorusso, Douglas G. Adler   +10 more
doaj   +5 more sources

Transgastric pancreatic necrosectomy: Tricks of the trade

Surgery Open Science, 2023
Necrotizing pancreatitis (NP) affects 20 % of the 300,000 patients diagnosed with acute pancreatitis every year. Mechanical intervention to debride necrotic and/or infected pancreatic and peripancreatic tissue is frequently required.
Sean P. McGuire, MD, Thomas K. Maatman, MD, Nicholas J. Zyromski, MD   +2 more
doaj   +5 more sources

Open necrosectomy in acute pancreatitis–obsolete or still useful? [PDF]

World Journal of Emergency Surgery, 2020
Background Multiple organ failure and early surgery are associated with high morbimortality after open necrosectomy. Data are mostly derived from historical cohorts with early necrosectomy bereft of step-up treatment algorithm implementation.
Henrik Leonard Husu, Jouni Antero Kuronen, Ari Kalevi Leppäniemi, Panu Juhani Mentula   +3 more
doaj   +2 more sources

Current Status of Direct Endoscopic Necrosectomy

Proceedings of Singapore Healthcare, 2012
The management of pancreatic necrosis has evolved. Sterile necrosis is now managed conservatively. Intervention is generally required for infected necrosis but is now deferred until four weeks after disease onset in order to permit encapsulation and ...
Tiing Leong Ang FRCP (Edin), FAMS (Gastroenterology)
doaj   +2 more sources

Multimodal necrosectomy with full combined endoscopic necrosectomy in the management of acute necrotizing pancreatitis

Therapeutic Advances in Gastrointestinal Endoscopy, 2023
Transgastric and transduodenal endoscopic drainages and necrosectomy are minimally invasive and effective way for the treatment of infected necrosis in the setting of acute pancreatitis (AP), but are limited in case of large and distant collections or in
S. Ouazzani, M. Gasmi, M. Barthet, J.M. Gonzalez   +3 more
doaj   +3 more sources

EUS-guided transcolonic drainage and necrosectomy in walled-off necrosis: a retrospective, single-center case series

Endoscopy International Open, 2023
Background and study aims Transgastric endoscopic ultrasound (EUS)-guided drainage and, if needed, necrosectomy is the preferred treatment in patients with pancreatic walled-off necrosis.
Mohamed Ebrahim, Srdan Novovic, Palle Nordblad Schmidt, Erik Feldager Hansen, John Gásdal Karstensen   +4 more
doaj   +2 more sources

Evaluating the role of the Minimal Incision Retroperitoneal Necrosectomy (MIRN) in the management of infected pancreatic necrosis: Experience from a tertiary care center

Surgery Open Science, 2023
Background: The conventional open necrosectomy was associated with high mortality and morbidities like secondary organ failure, incisional hernia, enterocutaneous fistula, and external pancreatic fistula.
Mandeep Kang, Surinder Singh Rana, Rajesh Gupta   +2 more
exaly   +3 more sources

Direct Endoscopic Necrosectomy: Timing and Technique [PDF]

Medicina, 2021
Walled-off pancreatic necrosis (WOPN) is one of the local complications of acute pancreatitis (AP). Several interventional techniques have been developed over the last few years. The purpose of this narrative review is to explore such methodologies, with specific focus on endoscopic drainage and direct endoscopic necrosectomy (DEN), through evaluation ...
Sergio Pinto, Saverio Bellizzi, Roberta Badas, Maria Laura Canfora, Erica Loddo, Simone Spada, Kareem Khalaf, Alessandro Fugazza, Silvio Bergamini   +8 more
openaire   +4 more sources

Timing It Right: Endoscopic Necrosectomy for Infected Necrotizing Pancreatitis

Journal of Digestive Endoscopy
The endoscopic step-up drainage approach involving initial drainage followed by, if required, direct endoscopic necrosectomy (DEN) is the preferred management approach for symptomatic pancreatic necrotic collections.
Ashutosh Ishan Yadav, Surinder Singh Rana   +1 more
doaj   +2 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