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Pancreatic necrosis:Complications and changing trend of treatment

查看全文 作  者:Mamoon Ur [1]Rashid;Ishtiaq [2]Hussain;Sundas [2]Jehanzeb;Waqas [3]Ullah;Saeed [1]Ali;Akriti Gupta [1]Jain;Neelam [1]Khetpal;Sarfraz [4]Ahmad 高影响力作者 机构地区:[1]Department of Internal Medicine, Advent Health Graduate Medical Education;[2]Department of Gastroenterology, Cleveland Clinic;[3]Internal Medicine, Abington Hospital;[4]Department of Gynecologic Oncology, Advent Health Cancer Institute高影响力机构 出  处:《World Journal of Gastrointestinal Surgery》索引2019年第11卷第4期,共20页高影响力期刊 摘  要:Incidence of acute pancreatitis seems to be increasing in the Western countries and has been associated with significantly increased morbidity. Nearly 80% of the patients with acute pancreatitis undergo resolution; some develop complications including pancreatic necrosis. Infection of pancreatic necrosis is the leading cause of death in these patients. A significant portion of these patients needs surgical interventions. Traditionally, the 'gold standard' procedure has been the open surgical necrosectomy, which is now being completed by the relatively lesser invasive interventions. Minimally invasive surgical(MIS) procedures include endoscopic drainage, percutaneous image-guided catheter drainage, and retroperitoneal drainage. This review article discusses the open and MIS interventions for pancreatic necrosis with each having its own respective benefits and disadvantages are covered. 关 键 词:Pancreatic NECROSIS NECROSECTOMY Open SURGERY MINIMALLY invasive SURGERY COMPLICATIONS TREATMENT Review article
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