Endoscopic Management of Necrotizing Pancreatitis
作者： Dongwook Oh , Dong-Wan Seo
DOI: 10.1007/978-3-319-62993-3_32
关键词:
摘要: Necrotizing pancreatitis is a potentially lethal disease and associated with significant morbidity consumes enormous healthcare resources. Over the last two decades, treatment of necrotizing has significantly evolved from open surgery toward minimally invasive techniques, endoscopic transmural drainage (ETD) necrosectomy emerging as principle forms treatment. The majority patients have sterile necrosis, which can be successfully treated conservatively. Patients infected necrosis generally need to undergo an intervention should ideally delayed long possible, preferably 4 weeks or longer after onset disease, for better demarcation liquefaction necrosis. Endoscopic most indicated in well-encapsulated pancreatic peripancreatic collections fluid necrotic debris signs infection clinical deterioration, luminal biliary obstruction, severe pain. This review provides overview current status, technique, recent innovations pancreatitis.
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