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A Step-Up Approach or Open Necrosectomy for Necrotizing Pancreatitis [PDF]

New England Journal of Medicine, 2010
Contains fulltext : 87299.pdf (Publisher’s version ) (Open Access)BACKGROUND: Necrotizing pancreatitis with infected necrotic tissue is associated with a high rate of complications and death. Standard treatment is open necrosectomy. The
Erwin van der Harst, Erik Buskens, Koop Bosscha   +2 more
exaly   +19 more sources

Minimally Invasive and Endoscopic Versus Open Necrosectomy for Necrotising Pancreatitis: A Pooled Analysis of Individual Data for 1980 Patients

Gut, 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.
Marco J Bruno, Gerjon Hannink, Paul Fockens   +2 more
exaly   +4 more sources

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Outcome of Open Necrosectomy in Acute Pancreatitis

Pancreatology, 2003
Twenty percent of all acute pancreatitis patients present with necrotizing pancreatitis. Infected necrosis is responsible for 80% of deaths in the course of the disease though, thanks to antibiotic prophylaxis, the infection rate is decreasing. When infection occurs, the prognosis is poor, and the need for debridement and drainage of the necrosis is ...
Massimo Falconi, Giovanni Butturini, P Pederzoli   +2 more
exaly   +5 more sources

Open Pancreatic Necrosectomy: Indications in the Minimally Invasive Era

Journal of Gastrointestinal Surgery, 2011
Carlos Fernandez-Del Castillo, Fernandez-Del Castillo Carlos   +1 more
exaly   +3 more sources

Open Pancreatic Necrosectomy in the Multidisciplinary Management of Postinflammatory Necrosis

Annals of Surgery, 2010
To examine clinical outcome in a consecutive cohort of patients undergoing open necrosectomy for postinflammatory necrosis.The last decade has witnessed major developments in the surgical management of pancreatic necrosis. Minimally invasive approaches have become established.
Aali Sheen, Ajith K Siriwardena, Benoy Idicula Babu   +2 more
exaly   +3 more sources

Superiority of Step-Up Approach vs Open Necrosectomy in Long-Term Follow-Up of Patients With Necrotizing Pancreatitis

Gastroenterology, 2019
Background & Aims: In a 2010 randomized trial (the PANTER trial), a surgical step-up approach for infected necrotizing pancreatitis was found to reduce the composite endpoint of death or major complications compared with open necrosectomy; 35% of ...
Marco J Bruno, Peter van Duijvendijk, Erwin van der Harst   +2 more
exaly   +1 more source

Minimally invasive versus open necrosectomy for necrotizing pancreatitis

2016
No description ...
R. A. Hollemans, S. Van Brunschot, O. Bakker, M. G. Besselink, T. H. Baron, H. G. Beger, M. A. Boermeester, T. L. Bollen, M. J. Bruno, R. Carter, R. Charnley, D. Coelho, B. Dahl, M. G. Dijkgraaf, N. Doctor, G. Farkas, P. J. Fagenholz, C. Fernandez-Del Castillo, P. Fockens, M. L. Freeman, T. B. Gardner, H. Van Goor, H. G. Gooszen, G. Hannink, R. Lochan, C. J. Mckay, M. P. Peev, J. P. Neoptolemos, A. Olah, R. W. Parks, M. Raraty, B. Rau, T. Roesch, M. Rovers, H. Seifert, A. K. Siriwardena, K. D. Horvath, H. C. Van Santvoort   +37 more
openaire   +2 more sources

[Open transgastric necrosectomy for extended walled-off pancreas necrosis].

Magyar sebeszet, 2019
In severe acute pancreatitis the timing of necrosectomy is ideally should be postponed 4-6 weeks after the onset of the disease when the walled-of pancreatic necrosis (WOPN) has developed. The authors present their experience with open transgastric necrosectomy for extended WOPN.The authors performed 17 (12 male, 5 female with a mean age of 61.6 ± 15.1
Klaudia, Balog, Adrienn, Csiszkó, Nóra, Krasnyánszky, Máté, Farkas, Mariann, Berhés, István, László, Károly, Palatka, László, Damjanovich, Péter, Sápy, Zsolt, Szentkereszty   +9 more
openaire   +2 more sources

[OPEN NECROSECTOMY IN THE COMPLEX TREATMENT OF THE SEVERE ACUTE PANCREATITIS].

Georgian medical news, 2020
The aim of the study was to determine the indication for the method of open abdomen-open necroseqtomy in the complex treatment of acute pancreatitis. 74 patients with the diagnosis of acute pancreatitis were selected for the treatment. Patients were divided by severity of disease: mild acute pancreatitis - 29 patients were treated by conservative ...
Z, Manijashvili, N, Lomidze, G, Akhaladze, I, Tsereteli   +3 more
openaire   +1 more source

Is Contemporary Open Pancreatic Necrosectomy Still Useful in the Minimally Invasive Era?

Surgery
Previous studies have shown that open pancreatic necrosectomy for infected pancreatic necrosis was associated with high morbidity and mortality. However, these results were mostly concluded from historical cohorts with traditional early necrosectomy in the absence of a minimally invasive step-up approach.To explore the value of contemporary open ...
Caihong Ning, Dingcheng Shen, Gengwen Huang   +2 more
exaly   +3 more sources