Results 41 to 50 of about 3,670 (204)

Minimally invasive and endoscopic versus open necrosectomy for necrotising pancreatitis: A pooled analysis of individual data for 1980 patients

, 2018
\ua9 Article author(s). Objective Minimally invasive surgical necrosectomy and endoscopic necrosectomy, compared with open necrosectomy, might improve outcomes in necrotising pancreatitis, especially in critically ill patients.
Gooszen HG, Raraty M, Bakker OJ, Farkas G, Gardner TB, Beger HG, Doctor N, Bruno MJ, French JJ, Dahl B, Fockens P, Van Santvoort HC, Neoptolemos JP, Fagenholz PJ, Van Brunschot S, McKay CJ, Besselink MG, Hollemans RA, Rau B, Carter R, Coelho D, Baron TH, Lochan R, Rosch T, Parks RW, Seifert H, Olah A, Peev MP, Dijkgraaf MG, Rovers M, Siriwardena AK, Freeman ML, Bollen TL, Goor HV, Boermeester MA, Hannink G, Horvath KD, Castillo CFD   +37 more
core   +3 more sources

Open Surgical versus Minimal Invasive Necrosectomy of the Pancreas-A Retrospective Multicenter Analysis of the German Pancreatitis Study Group. [PDF]

PLoS ONE, 2016
Necrotising pancreatitis, and particularly infected necrosis, are still associated with high morbidity and mortality. Since 2011, a step-up approach with lower morbidity rates compared to initial open necrosectomy has been established. However, mortality
Sebastian Rasch, Veit Phillip, Stephanie Reichel, Bettina Rau, Christian Zapf, Jonas Rosendahl, Ulrich Halm, Markus Zachäus, Martin Müller, Alexander Kleger, Albrecht Neesse, Jochen Hampe, Mark Ellrichmann, Felix Rückert, Peter Strauß, Alexander Arlt, Volker Ellenrieder, Thomas M Gress, Werner Hartwig, Ernst Klar, Joachim Mössner, Stefan Post, Roland M Schmid, Thomas Seufferlein, Marco Siech, Jens Werner, Uwe Will, Hana Algül   +27 more
doaj   +1 more source

Postponed endoscopic necrosectomy results in a lower rate of additional intervention for infected walled-off necrosis

Scientific Reports
Although endoscopic necrosectomy (EN) is more frequently used to manage walled-off necrosis (WON), there is still debate over how much time should pass between the initial stent placement and the first necrosectomy.
Songting Wu, Xiaotan Dou, Na Li, Hao Zhu, Lei Wang, Mingdong Liu, Chenggong Yu   +6 more
doaj   +1 more source

Open necrosectomy combined with continuous positive drainage and prophylactic diverting loop ileostomy for late infected pancreatic necrosis: a retrospective cohort study

BMC Gastroenterology, 2020
Background To evaluate an innovative open necrosectomy strategy with continuous positive drainage and prophylactic diverting loop ileostomy for the management of late infected pancreatic necrosis (LIPN).
Dong-Guang Niu, Wei-Qin Li, Qian Huang, Fan Yang, Wei-Liang Tian, Chen Li, Lian-An Ding, Hong-Chun Fang, Yun-Zhao Zhao   +8 more
doaj   +1 more source

Evaluating a Modified American Society of Anesthesiologists Physical Status‐Based Sedation Management System for Pancreatobiliary Endoscopy: A Prospective Feasibility Study

DEN Open, Volume 7, Issue 1, April 2027.
A modified ASA‐PS‐based sedation management system is evaluated in a prospective feasibility study of 2,000 patients undergoing pancreatobiliary endoscopy. Patients are stratified by modified ASA‐PS classification and predefined high‐risk criteria, with anesthesiologist assessment determining sedation providers.
Taro Hanaoka, Kosuke Okuwaki, Masafumi Watanabe, Hiromi Matsuda, Kai Adachi, Akihiro Tamaki, Daisuke Ogawa, Mayuko Sakai, Chika Kusano   +8 more
wiley   +1 more source

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   +1 more source

Double-catheter lavage combined with percutaneous flexible endoscopic debridement for infected pancreatic necrosis failed to percutaneous catheter drainage

BMC Gastroenterology, 2017
Background Infected pancreatic necrosis (IPN) is a serious local complication of acute pancreatitis, with high mortality. Minimally invasive therapy including percutaneous catheter drainage (PCD) has become the preferred method for IPN instead of ...
Pi Liu, Jun Song, Hua-jing Ke, Nong-hua Lv, Yin Zhu, Hao Zeng, Yong Zhu, Liang Xia, Wen-hua He, Ji Li, Xin Huang, Yu-peng Lei   +11 more
doaj   +1 more source

Endoscopic ultrasound drainage of pancreatic fluid collections: do we know enough about the best approach?

Therapeutic Advances in Gastroenterology, 2023
Pancreatic fluid collection often occurs as a local complication of acute pancreatitis, and drainage is indicated in symptomatic patients. The drainage may be surgical, percutaneous, or endoscopic ultrasound (EUS) guided. In symptomatic collections older
Andrada Seicean, Cristina Pojoga, Voicu Rednic, Claudia Hagiu, Radu Seicean   +4 more
doaj   +1 more source

Minimally invasive necrosectomy for infected necrotizing pancreatitis

, 2008
OBJECTIVES: Infected necrotizing pancreatitis represents a serious and therapeutically challenging complication. Percutaneous drainage of infected pancreatic necrosis is often unsuccessful.
Morel, Philippe, Pugin, Francois, Bucher, Pascal, Morel P, Bucher P, Pugin F   +5 more
core   +1 more source

Current status of minimally invasive necrosectomy for post-inflammatory pancreatic necrosis

, 2009
Objective: This paper reviews current knowledge on minimally invasive pancreatic necrosectomy. Background: Blunt (non-anatomical) debridement of necrotic tissue at laparotomy is the standard method of treatment of infected post-inflammatory pancreatic ...
Siriwardena, Ajith Kumar, Benoy Idicula Babu, Babu, Benoy Idicula, Ajith Kumar Siriwardena   +3 more
core   +1 more source