Management of walled-off necrosis (WON) : Percutaneous step-up approach
نویسندگان
چکیده
منابع مشابه
Walled-off pancreatic necrosis.
Acute severe pancreatitits may be complicated by the development of 'walled-off pancreatic necrosis' (WOPN), which is characterised by a mixture of solid components and fluids on imaging studies as a consequence of organised pancreatic tissue necrosis. We present here an overview of the definition, clinical features, and diagnostic and therapeutic management of this clinical condition, which is...
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The outcome for endoscopic management of pancreatic fluid collections is dependent on the type of collection being treated. While pseudocysts have an excellent treatment response, the outcomes are modest for walled ‐off pancreatic necrosis. Recent advances in cross‐sectional body imaging have enabled more accurate distinction of pancreatic fluid collections, which in turn facilitates correct tr...
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Approximately 20% of patients with acute pancreatitis develop pancreatic necrosis with significant mortality. Surgical debridement is the traditional management of necrotizing pancreatitis, but it is associated with significant morbidity and mortality. Endoscopic necrosectomy using repeats session of debridement and stent insertion has been more frequently used within the last decade and half. ...
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Walled-off necrosis (WON) caused by fungal infection is very rare, and its treatment is more difficult than that of bacterial infection. We present the first case of a patient with refractory fungal-infected WON treated with percutaneous endoscopic necrosectomy and local administration of amphotericin B.A Japanese man in his 30s was hospitalized with severe necrotizing pancreatitis and multiple...
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ژورنال
عنوان ژورنال: Progress of Digestive Endoscopy
سال: 2013
ISSN: 1348-9844,2187-4999
DOI: 10.11641/pde.83.1_47