Step-up approach for severe acute necrotizing pancreatitis
Brazilian Journal of Health ReviewSevere acute pancreatitis accounts for 20% of cases, and pancreatic necrosis and infection significantly increase morbidity and mortality. The estimated mortality for infected necrosis without organ failure is around 1.4%, for necrosis without infection with organ failure it is 19.8% and for infected necrosis with organ failure it is 35.2%.
Ureña-Argudo Jonathan Fabricio +6 more
openaire +2 more sources
Feasibility of Adopting the "Step-up Approach" in Managing Necrotizing Pancreatitis-induced Pancreatic-colonic Fistula [PDF]
The Korean Journal of Gastroenterology, 2019 Managing acute pancreatitis is clinically challenging because of the generally poor patient condition, the variety of treatment options depending on the severity and complications, and the uncertainty of outcomes.
Sung Kyun Yim +4 more
doaj +2 more sources
Mortality and morbidity in necrotizing pancreatitis managed on principles of step-up approach: 7 years experience from a single surgical unit. [PDF]
World J Gastrointest Surg, 2017 AIM To determine percentage of patients of necrotizing pancreatitis (NP) requiring intervention and the types of interventions performed. Outcomes of patients of step up necrosectomy to those of direct necrosectomy were compared.
Aparna D, Kumar S, Kamalkumar S.
europepmc +2 more sources
Rota-Tripsy or step-up-approach rotational atherectomy for severe coronary artery calcification treatment: a comparative effectiveness study [PDF]
Scientific ReportsStep-up-approach rotational atherectomy has been widely recognized in the treatment of severe calcified plaques. As an alternative, the rota-tripsy procedure is a novel strategy for the modification of calcification lesions.
Fengwen Cui +9 more
doaj +2 more sources
Step-up approach and video assisted retroperitoneal debridement in infected necrotizing pancreatitis: A case complicated by retroperitoneal bleeding and colonic fistula. [PDF]
Ann Med Surg (Lond), 2015 Introduction Infected Necrotizing Pancreatitis carries a high mortality and necessitates intervention to achieve sepsis control. The surgical strategy for proven infected necrosis has evolved, with abandonment of open necrosectomy to a step-up approach ...
Lim E +5 more
europepmc +2 more sources
Endoscopic “Step‑up” Treatment Approach for Walled off Pancreatic Necrosis
Journal of Digestive Endoscopy, 2017 Surinder Singh Rana, Sobur Uddin Ahmed
doaj +2 more sources
Direct endoscopic necrosectomy versus step-up approach for walled-off pancreatic necrosis: comparison of clinical outcome and health care utilization. [PDF]
Pancreas, 2014 Kumar N, Conwell DL, Thompson CC.
europepmc +2 more sources
Gastroenterology, 2022 BACKGROUND & AIMS Previous randomized trials, including the TENSION trial, demonstrated that the endoscopic step-up approach might be preferred over the surgical step-up approach in patients with infected necrotizing pancreatitis based on favorable short-
A. Onnekink +42 more
semanticscholar +1 more source
Journal of Digestive Diseases, 2022 To investigate the association between necrotic collections on endoscopic ultrasound (EUS) and outcomes of the endoscopic transmural step‐up approach in necrotizing pancreatitis (NP).
Chen Yu +12 more
semanticscholar +1 more source
Comparison of Different Surgical Methods for Necrotizing Pancreatitis: A Meta-Analysis
Frontiers in Surgery, 2021 Purpose: To compare the effectiveness and safety of three methods of open necrosectomy, minimally invasive surgery and endoscopic step-up approach for necrotizing pancreatitis.Methods: We searched Pubmed, Embase, ScienceDirect, and CNKI full text ...
Jianguo Xiao +5 more
doaj +1 more source