Endoscopic pancreatic necrosectomy.

Abstract

Traditionally, patients with symptomatic sterile pancreatic necrosis or infected necrosis have been managed by open surgical debridement and removal of necrotic tissue. Within the last decade, however, reports of endoscopic pancreatic necrosectomy, an alternative minimally invasive approach, have demonstrated high success rates and low mortality rates. This report describes the indications, technique, and study outcome data of the procedure. While our experience with this technique has recently increased, better selection criteria are needed to identify patients who are most suitable for endoscopic therapy.

• Authors: Evan L Fogel
• Journal: Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract (J Gastrointest Surg) Vol. 15 Issue 7 Pg. 1098-100 (Jul 2011) ISSN: 1873-4626 [Electronic] United States
• PMID: 21494913 (Publication Type: Consensus Development Conference, Journal Article)

Topics

• Debridement (methods)
• Endoscopy, Digestive System (methods, standards)
• Endosonography
• Humans
• Pancreatitis, Acute Necrotizing (diagnostic imaging, surgery)
• Practice Guidelines as Topic
• Suction (methods, standards)