Role of Necrosectomy in Necrotizing Pancreatitis: A Narrative Review DOI Open Access

Khushbu Vaidya,

Raju K Shinde,

Tushar Nagtode

et al.

Cureus, Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 29, 2024

Necrotizing pancreatitis (NP) is a severe complication of acute pancreatitis, characterized by necrosis pancreatic and peripancreatic tissues, leading to significant morbidity mortality. The role necrosectomy, the surgical removal necrotic tissue, in management NP has evolved over past few decades, moving from early aggressive intervention more conservative stepwise approach. This narrative review explores historical perspectives, current practices, future trends necrosectomy NP. Early studies favored open debridement; however, high mortality rates associated with prompted shift towards minimally invasive techniques, delayed interventions, "step-up approach," combining percutaneous drainage surgery. We also indications for surgery, optimal timing, various including video-assisted retroperitoneal debridement endoscopic transluminal necrosectomy. highlights benefits these strategies reducing complications, improving patient outcomes, minimizing hospital stays. Ongoing research into selection, procedural refinement will continue shape management. Understanding evolving crucial optimizing care burden this life-threatening condition.

Language: Английский

Endoscopic Ultrasound-guided Pancreatic Fluid collection drainage and Pancreatic Ductal drainage DOI
Sridhar Sundaram,

Surinder Rana

Techniques and Innovations in Gastrointestinal Endoscopy, Journal Year: 2025, Volume and Issue: unknown, P. 250921 - 250921

Published: April 1, 2025

Language: Английский

Citations

0
Role of Necrosectomy in Necrotizing Pancreatitis: A Narrative Review DOI Open Access

Khushbu Vaidya,

Raju K Shinde,

Tushar Nagtode

et al.

Cureus, Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 29, 2024

Necrotizing pancreatitis (NP) is a severe complication of acute pancreatitis, characterized by necrosis pancreatic and peripancreatic tissues, leading to significant morbidity mortality. The role necrosectomy, the surgical removal necrotic tissue, in management NP has evolved over past few decades, moving from early aggressive intervention more conservative stepwise approach. This narrative review explores historical perspectives, current practices, future trends necrosectomy NP. Early studies favored open debridement; however, high mortality rates associated with prompted shift towards minimally invasive techniques, delayed interventions, "step-up approach," combining percutaneous drainage surgery. We also indications for surgery, optimal timing, various including video-assisted retroperitoneal debridement endoscopic transluminal necrosectomy. highlights benefits these strategies reducing complications, improving patient outcomes, minimizing hospital stays. Ongoing research into selection, procedural refinement will continue shape management. Understanding evolving crucial optimizing care burden this life-threatening condition.

Language: Английский

Citations

0