Direct Endoscopic Necrosectomy: Timing and Technique
| العنوان: | Direct Endoscopic Necrosectomy: Timing and Technique |
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| المؤلفون: | Saverio Bellizzi, Erica Loddo, R. Badas, Sergio Pinto, Alessandro Fugazza, Maria Laura Canfora, Silvio Bergamini, Kareem Khalaf, Simone Spada |
| المصدر: | Medicina, Vol 57, Iss 1305, p 1305 (2021) Medicina |
| بيانات النشر: | MDPI AG, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | pancreatic necrotic collection, medicine.medical_specialty, Medicine (General), acute pancreatitis, Review, Endoscopic drainage, LAMS, R5-920, Humans, Medicine, walled-off pancreatic necrosis, Adverse effect, EUS, Retrospective Studies, Pancreatitis, Acute Necrotizing, business.industry, General Medicine, medicine.disease, Surgery, Treatment Outcome, direct endoscopic necrosectomy, Acute Disease, Drainage, Acute pancreatitis, Stents, Narrative review, business, Hospital stay |
| الوصف: | Walled-off pancreatic necrosis (WOPN) is one of the local complications of acute pancreatitis (AP). Several interventional techniques have been developed over the last few years. The purpose of this narrative review is to explore such methodologies, with specific focus on endoscopic drainage and direct endoscopic necrosectomy (DEN), through evaluation of their indications and timing for intervention. Findings indicated how, after the introduction of lumen-apposing metal stents (LAMS), DEN is becoming the favorite technique to treat WOPN, especially when large solid debris or infection are present. Additionally, DEN is associated with a lower adverse events rate and hospital stay, and with improved clinical outcome. |
| اللغة: | English |
| تدمد: | 1648-9144 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::4e133f01f10e6c2c6dc4d68450cb6c85 https://www.mdpi.com/1648-9144/57/12/1305 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....4e133f01f10e6c2c6dc4d68450cb6c85 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 16489144 |
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