Managing infected pancreatic necrosis

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Authors

Thomson, John-Edwin
Van Dijk, Sven M.
Brand, Martin
Van Santvoort, Hjalmar C.
Besselink, Marc G.

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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.

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Keywords

Pancreatita, Necroza pancreatica infectata, Necrozectomie, Pancreatitis, Infected pancreatic necrosis, Necrosectomy

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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.