Managing infected pancreatic necrosis
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Date
Authors
Thomson, John-Edwin
Van Dijk, Sven M.
Brand, Martin
Van Santvoort, Hjalmar C.
Besselink, Marc G.
Journal Title
Journal ISSN
Volume Title
Publisher
Editura Celsius
Abstract
Managementul necrozei pancreatice infectate a început cu necrozecto-mia deschisă precoce, asociată cu o mortalitate semnificativă. În ultimii ani, a avut loc o transformare bazată pe dovezi înspre abordarea progresivă constând în drenajul percutan urmat de necrozectomia minim invazivă dacă este necesar. Mai recent, abordarea endoscopică progresivă a câştigat popularitate. Aceast articol evaluează diagnos-ticul, prevenirea şi tratamentul necrozei pancreatice infectate.
The management of infected pancreatic necrosis has historically been based on early, open necro-sectomy, associated with significant mortality. In recent years, an evidence based transformation has occurred towards the step-up approach consisting of percutaneous catheter drainage, if neces-sary, followed by minimally invasive necrosectomy. More recently the endoscopic step-up approach has gained popularity. This review evaluates the diagnosis, prevention and treatment of infected necrotizing pancreatitis.
The management of infected pancreatic necrosis has historically been based on early, open necro-sectomy, associated with significant mortality. In recent years, an evidence based transformation has occurred towards the step-up approach consisting of percutaneous catheter drainage, if neces-sary, followed by minimally invasive necrosectomy. More recently the endoscopic step-up approach has gained popularity. This review evaluates the diagnosis, prevention and treatment of infected necrotizing pancreatitis.
Description
Keywords
Pancreatita, Necroza pancreatica infectata, Necrozectomie, Pancreatitis, Infected pancreatic necrosis, Necrosectomy
Sustainable Development Goals
Citation
Thomson, J.-E., Van Dijk, S.M., Brand, M. et al. 2018, 'Managing infected pancreatic necrosis', Chirurgia, vol. 113, no. 3, pp. 291-299.