November 12, 2014
Reference Type: Journal Article
Record Number: 5057Author: Trikudanathan, G., Arain, M., Attam, R. and Freeman, M. L.
Title: Interventions for necrotizing pancreatitis: an overview of current approaches
Journal: Expert Rev Gastroenterol Hepatol
Short Title: Interventions for necrotizing pancreatitis: an overview of current approaches
Alternate Journal: Expert review of gastroenterology & hepatology
ISSN: 1747-4132 (Electronic)
Accession Number: 23899285
Keywords: Combined Modality Therapy
Pancreatitis, Acute Necrotizing/diagnosis/*therapy
Patient Care Team
Predictive Value of Tests
Abstract: The management of necrotizing pancreatitis has undergone a paradigm shift toward minimally invasive techniques for necrosectomy, obviating the need for open necrosectomy in most cases. There is increasing evidence that minimally invasive approaches including a step-up approach that incorporates percutaneous catheter or endoscopic transluminal drainage, followed by video-assisted retroperitoneal or endoscopic debridement are associated with improved outcomes over traditional open necrosectomy for patients with infected necrosis. A recent international multidisciplinary consensus conference emphasized the superiority of minimally invasive approaches over standard surgical approaches. The success of these techniques depends on concerted efforts of a multidisciplinary team of interventional endoscopists, radiologists, intensivists and surgeons dedicated to the management of severe acute pancreatitis and its complications. This review provides an overview of minimally invasive techniques for management of necrotizing pancreatitis, including indications, timing, advantages and disadvantages.
Notes: Trikudanathan, Guru
Freeman, Martin L
Research Support, Non-U.S. Gov’t
Expert Rev Gastroenterol Hepatol. 2013 Jul;7(5):463-75. doi: 10.1586/17474124.2013.811055.