作者
Timothy B Gardner, Nayantara Coelho-Prabhu, Stuart R Gordon, Andres Gelrud, John T Maple, Georgios I Papachristou, Martin L Freeman, Mark D Topazian, Rajeev Attam, Todd A Mackenzie, Todd H Baron
发表日期
2011/4/1
期刊
Gastrointestinal endoscopy
卷号
73
期号
4
页码范围
718-726
出版商
Mosby
简介
BACKGROUND
Direct endoscopic necrosectomy (DEN) for treatment of walled-off pancreatic necrosis (WOPN) has been performed as an alternative to operative or percutaneous therapy.
OBJECTIVE
To report the largest combined experience of DEN performed for WOPN.
DESIGN
Retrospective chart review.
SETTING
Six U.S. tertiary medical centers.
PATIENTS
A total of 104 patients with a history of acute pancreatitis and symptomatic WOPN since 2003.
INTERVENTIONS
DEN for WOPN.
MAIN OUTCOME MEASUREMENTS
Resolution or near-resolution of WOPN without the need for surgical or percutaneous intervention and procedural complications.
RESULTS
Successful resolution was achieved in 95 of 104 patients (91%). Of the patients in whom it failed, 5 died during follow-up before resolution, 2 underwent operative drainage for persistent WOPN, 1 required surgery for massive bleeding on fistula tract …
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