医学
急性胰腺炎
坏死性胰腺炎
胰腺炎
坏死
内镜治疗
肝病学
外科
普通外科
内窥镜检查
内科学
重症监护医学
作者
Linlin Feng,Jintao Guo,Sheng Wang,Liangzhong Xiang,Nan Guo,Guoxin Wang,Siyu Sun
出处
期刊:Journal of Translational Internal Medicine
[De Gruyter]
日期:2021-09-01
卷期号:9 (3): 168-176
被引量:12
标识
DOI:10.2478/jtim-2021-0031
摘要
Acute necrotizing pancreatitis occurs in 10%-20% of patients with acute pancreatitis (AP) which is one of the most important acute abdominal diseases that require hospital admission. Pancreatic necrosis is also associated with high mortality and morbidity. In the past 20 years, the treatment of pancreatic necrosis has shifted from open necrosectomy to minimally invasive techniques, such as endoscopic interventions. With the development of endoscopic techniques, the safety and effectiveness of endoscopic interventions have improved, but there exist several unresolved problems. Currently, there is no unified standard approach for endoscopic treatment of pancreatic necrosis that takes into account local expertise, anatomical features of necrosis, patients' preferences, and comorbidity profile. We reviewed the current status of endoscopic therapy for acute necrotizing pancreatitis, focusing on the new endoscopic drainage technique and necrosectomy protocol.
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