Transgastric pancreatic necrosectomy: Tricks of the trade [PDF]
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 +2 more
doaj +4 more sources
Immediate Versus On‐Demand Direct Endoscopic Necrosectomy for Necrotizing Pancreatitis: A Systematic Review and Meta‐Analysis [PDF]
ABSTRACT Background The optimal timing of direct endoscopic necrosectomy (DEN) for Necrotizing Pancreatitis (NP) remains unclear. This meta‐analysis aimed to evaluate the efficacy and safety of immediate DEN compared with on‐demand DEN. Methods PubMed, Embase, Web of Science, and Cochrane Library databases were systematically searched to identify ...
Rui Wang +6 more
wiley +2 more sources
Current Status of Direct Endoscopic Necrosectomy
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
Comparative Outcomes of Endoscopic, Minimally Invasive Surgical, and Open Necrosectomy in Necrotizing Pancreatitis: Evidence From a Network Meta‐Analysis [PDF]
The optimal interventional approach for necrotizing pancreatitis remains debated. We performed a systematic review with network meta‐analysis and proportional meta‐analysis to compare endoscopic trans‐gastric necrosectomy (EN), minimally invasive surgical necrosectomy (MIN), and open necrosectomy (ON).ABSTRACTBackgroundThe optimal interventional ...
Ahmed Abdelsamad +10 more
wiley +2 more sources
Endoscopic Pancreatic Necrosectomy
Acute pancreatitis can be complicated by necrosis of the pancreas, peripancreatic tissue, or both in 10–20% of cases, with a risk of developing infection up to 30%. Necrosis can involve any part of the pancreas, and it could be endoscopically reachable from both the stomach or duodenum, allowing to perform a EUS-guided drainage of the collection if a ...
Carlo Fabbri +5 more
core +2 more sources
Spider‐Man in WONderland: Bending Biopsy Forceps to Facilitate Endoscopic Necrosectomy [PDF]
Digestive Endoscopy, Volume 38, Issue 2, February 2026.
Tsuyoshi Hamada +2 more
wiley +2 more sources
Endoscopic Necrosectomy as Treatment for Infected Pancreatic Necrosis [PDF]
Necrotising pancreatitis can be life-threatening, but the introduction of endoscopic necrosectomy has led to a tremendous reduction of lethality. This review describes the technique and role of this method between conservative treatment and other ...
Dr. Christian Jürgensen
doaj +1 more source
AEG‐AESPANC‐OPGE‐SIED‐SPG Ibero‐Latin American Guidelines on Acute Pancreatitis (iLATAM‐AP) [PDF]
ABSTRACT Introduction Acute pancreatitis (AP) is a major cause of gastrointestinal hospitalizations worldwide. Although typically self‐limiting, up to one‐third of cases develop complications associated with increased morbidity and mortality. Despite recent advances that have improved outcomes, clinical heterogeneity necessitates updated, evidence ...
Karina Cárdenas‐Jaén +44 more
wiley +2 more sources
Immediate Endoscopic Necrosectomy for Walled‐Off Pancreatic Necrosis: A First‐Choice Option? [PDF]
Digestive Endoscopy, Volume 38, Issue 1, January 2026.
Tsuyoshi Hamada +3 more
wiley +2 more sources
Percutaneous Endoscopic Necrosectomy of Walled-Off Pancreatic and Peripancreatic Necrosis [PDF]
Background: Minimally invasive approaches for managing complications of acute necrotizing pancreatitis have advanced significantly in recent decades. When extensive walled-off pancreatic or peripancreatic necrosis is present, a single transluminal access
Jagielski, Mateusz +9 more
core +2 more sources

