The growing applicability of transluminal endotherapy in organized pancreatic necrotic collections
Autor: | Bruno Arroja, Sandra Lopes, Carlos Sofia, A. Rosa, Hermano Gouveia, Nuno Almeida |
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Rok vydání: | 2013 |
Předmět: |
Acute necrotizing pancreatitis
Infected pancreatic necrosis medicine.medical_specialty Debridement business.industry medicine.medical_treatment Endoterapia Alternative treatment Surgery Endoscopic drainage Laparotomy Necrosectomia endoscópica Necrose pancreática infectada medicine Endotherapy Interventional endoscopy business Endoscopic necrosectomy |
Zdroj: | GE Jornal Português de Gastrenterologia. 20:16-20 |
ISSN: | 0872-8178 |
DOI: | 10.1016/j.jpg.2012.04.013 |
Popis: | Acute necrotizing pancreatitis is a serious condition with multiple possible causes. In a proportion of patients it complicates with development of necrotic peripancreatic collec- tions and in some cases these become infected. The latter is a strong indication for aggressive treatment, which has classically been laparotomy with open necrosectomy. Surgery has major possible complications yielding a field for alternative treatment options such as endoscopic drainage and more recently direct debridement through transluminal orifices. This report describes interventional endoscopy to treat two patients with large peripancreatic necrotic and infected collections, focusing on its advantages, limitations and future indications. © 2011 Sociedade Portuguesa de Gastrenterologia Published by Elsevier Espana, S.L. All rights reserved. |
Databáze: | OpenAIRE |
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