Results 21 to 30 of about 3,670 (204)

EUS-Guided Multitransgastric Endoscopic Necrosectomy for Infected Pancreatic Necrosis with Noncontagious Retroperitoneal and Peritoneal Extension

Gut and Liver, 2010
Endoscopic necrosectomy was introduced as a safe and effective treatment modality for infected pancreatic necrosis. Although there have been many reports of endoscopic drainage of retroperitoneal pancreatic necrosis, the optimal endoscopic management of ...
doaj   +2 more sources

Is endoscopic necrosectomy the way to go?

Gastrointestinal Intervention, 2016
Pancreatic necrosis with the formation of walled-off collections is a known complication of severe acute pancreatitis. Infected necrotic pancreatic collections are associated with a high mortality rate.
James Weiquan Li, Tiing Leong Ang
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

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

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

Long-term Outcomes of Direct Endoscopic Necrosectomy for Complicated or Symptomatic Walled-Off Necrosis: A Korean Multicenter Study

Gut and Liver, 2021
Background/Aims: The endoscopic step-up approach is accepted as the preferred treatment for complicated or symptomatic walled-off necrosis (WON). Direct endoscopic necrosectomy (DEN) is an effective therapeutic option, but few reports describe long-term ...
Yeon Suk Kim, Jae Hee Cho, Dong Hui Cho, Se Woo Park, Sung-Hoon Moon, Jin-Seok Park, Yun Nah Lee, Sang Soo Lee   +7 more
doaj   +1 more source

Early versus delayed interventions for necrotizing pancreatitis: A systematic review and meta‐analysis

DEN Open, 2023
Objectives Interventions for necrotizing pancreatitis are generally postponed until 4 weeks after the onset of acute pancreatitis, but there remains controversy about whether we should always wait >4 weeks or can intervene early when necessary. This meta‐
Yousuke Nakai, Hideyuki Shiomi, Tsuyoshi Hamada, Shogo Ota, Mamoru Takenaka, Takuji Iwashita, Tatsuya Sato, Tomotaka Saito, Atsuhiro Masuda, Saburo Matsubara, Keisuke Iwata, Tsuyoshi Mukai, Hiroyuki Isayama, Ichiro Yasuda   +13 more
doaj   +1 more source

Risk Factors for Bleeding during Endoscopic Necrosectomy: Are We Wiser Now?

Journal of Digestive Endoscopy, 2023
Endoscopic necrosectomy (EN) in acute necrotizing pancreatitis has mortality benefits and may avert the requirement for surgery. However, bleeding is a common adverse event during EN.
Anurag Sachan, Surinder S. Rana
doaj   +1 more source

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.
Mohanasundaram Avudiappan, Venu Bhargava, Aditya Kulkarni, Mandeep Kang, Surinder Singh Rana, Rajesh Gupta   +5 more
doaj   +1 more source

Infected Necrosis in Severe Pancreatitis - Combined Nonsurgical Multi-Drainage with Directed Transabdominal High-Volume Lavage in Critically Ill Patients [PDF]

, 2009
Background: Infection of pancreatic necrosis is a life-threatening complication during the course of acute pancreatitis. In critically ill patients, surgical or extended endoscopic interventions are associated with high morbidity and mortality. Minimally
Huber, W., Umgelter, A., Gaa, J., Prinz, C., Becker, V., Schmid, R. M., Bajbouj, M., Ludwig, L., Meining, Alexander, Becker, V.;Huber, W.;Meining, A.;Prinz, C.;Umgelter, A.;Ludwig, L.;Bajbouj, M.;Gaa, J.;Schmid, R. M., Becker, V;Huber, W;Meining, A;Prinz, C;Umgelter, A;Ludwig, L;Bajbouj, M;Gaa, J;Schmid, RM   +10 more
core   +1 more source