Results 11 to 20 of about 7,098 (264)

Endoscopic Step-up Approach for Walled-off Necrosis After Acute Pancreatitis. [PDF]

DEN Open
ABSTRACT 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 challenge. WON requires invasive treatment in cases of infection or symptoms.
Mukai S, Sofuni A, Tsuchiya T, Tanaka R, Tonozuka R, Matsunami Y, Nagai K, Kojima H, Minami H, Hirakawa N, Asano K, Shionoya K, Hama K, Itoi T.   +13 more
europepmc   +2 more sources

Laparoscopic necrosectomy for acute necrotising pancreatitis: Retrospective analysis of a decade-long experience from a tertiary centre

Journal of Minimal Access Surgery
Introduction: The objective of this study is to evaluate the role of minimally invasive surgery for the management of necrotising pancreatitis in acute settings and to propose tailor-made approaches to deal with various locations of pancreatic necrosis ...
Srivatsan Gurumurthy Sivakumar, Monika Sekaran, Srinivasan Muthukrishnan, Anand Vijai Natesan, V P Nalankilli, Palanisamy Senthilnathan, Chinnusamy Palanivelu   +6 more
doaj   +2 more sources

Infected pancreatic necrosis complicating severe acute pancreatitis in critically ill patients: predicting catheter drainage failure and need for necrosectomy

Annals of Intensive Care, 2022
Background Recent guidelines advocate a step-up approach for managing suspected infected pancreatic necrosis (IPN) during acute pancreatitis. Nearly half the patients require secondary necrosectomy after catheter drainage.
Charlotte Garret, Marion Douillard, Arthur David, Morgane Péré, Lucille Quenehervé, Ludivine Legros, Isabelle Archambeaud, Frédéric Douane, Marc Lerhun, Nicolas Regenet, Jerome Gournay, Emmanuel Coron, Eric Frampas, Jean Reignier   +13 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

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

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

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

Infected necrotizing pancreatitis: clinical features, microbial patterns, and outcomes in a Saudi tertiary center [PDF]

Frontiers in Cellular and Infection Microbiology
Infected necrotizing pancreatitis (INP) is a severe complication of acute pancreatitis (AP) associated with high morbidity and mortality, yet regional data remain limited.
Moaz Abulfaraj
doaj   +2 more sources

Endoscopic versus minimally invasive surgical approach for infected necrotizing pancreatitis: a systematic review and meta-analysis of randomized controlled trials

Annals of Medicine, 2023
Background/Aims Acute pancreatitis is a common condition of the digestive system, but sometimes it develops into severe cases. In about 10–20% of patients, necrosis of the pancreas or its periphery occurs.
Penghao Tang, Kamran Ali, Hayat Khizar, Yuanzhi Ni, Zhiwen Cheng, Benfeng Xu, Zhiwen Qin, Wu Zhang   +7 more
doaj   +1 more source

Extended Open Transgastric Necrosectomy (EOTN) as a Safer Procedure for Necrotizing Pancreatitis [PDF]

Journal of Clinical and Diagnostic Research, 2014
The treatment of infected necrotizing pancreatitis has evolved from time to time and the success of surgical intervention depends on the timing of necrosectomy. Bacterial infection occurs in 40–70% of patients with necrotizing pancreatitis. Infection is
Prasad Sasnur, Ravindra Nidoni, Ramakanth Baloorkar, Vikram Sindgikar, Bharat Shankar   +4 more
doaj   +1 more source

Novel Resection System for Direct Endoscopic Necrosectomy of Walled-Off Pancreas Necrosis: Have We Conquered the Final Frontier?

Journal of Digestive Endoscopy, 2021
Surgical necrosectomy has been the traditional management for pancreatic necrosis and is done using blunt dissection. However, lack of dedicated endoscopic accessories has been a major limitation in direct endoscopic necrosectomy (DEN).
Surinder Singh Rana, Rajesh Gupta
doaj   +1 more source