Extended Open Transgastric Necrosectomy (EOTN) as a Safer Procedure for Necrotizing Pancreatitis
The treatment of infected necrotizing pancreatitis has evolved from time to time and the success of surgical intervention depends on the timing of necrosectomy. Bacterial infection occurs in 40–70% of patients with necrotizing pancreatitis. Infection is the main risk factor for mortality among pat...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2014-07-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/4600/8196_CE[Ra1]_F(DK)_PF1(PAK)_PFA(AK)_PF2(PAG)_PF2(PN).pdf |
| Summary: | The treatment of infected necrotizing pancreatitis has evolved from time to time and the success of surgical intervention depends on the
timing of necrosectomy. Bacterial infection occurs in 40–70% of patients with necrotizing pancreatitis. Infection is the main risk factor for
mortality among patients with pancreatic necrosis. Timely intervention is generally required for pancreatic necrosis but is now deferred
until four weeks after disease onset in order to permit encapsulation and demarcation of the necrotic material. Demarcation facilitates
necrosectomy and reduces complications related to the drainage and debridement procedures. The approach to pancreatic necrosectomy
has evolved from primary open necrosectomy to minimally-invasive radiologic, surgical and endoscopic procedures. Direct endoscopic
necrosectomy is a minimally-invasive technique that was introduced in recent years for the treatment of walled-off necrosis. The pancreas
is approached through the posterior wall of stomach and debridement is done. |
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| ISSN: | 2249-782X 0973-709X |