Necrotizing pancreatitis: a surgical approach independent of documented infection
نویسندگان
چکیده
منابع مشابه
Surgical Treatment of Necrotizing Pancreatitis
Surgical treatment in patients with severe acute pancreatitis is still a controversial subject, ranging from sole conservative to an aggressive approach. This article gives an overview of the literature with regard to indications for surgery, timing and techniques of operative treatment concepts in severe acute pancreatitis with special attention to the recommended necrosectomy and closed conti...
متن کاملTiming of surgical intervention in necrotizing pancreatitis.
OBJECTIVE To determine the effect of timing of surgical intervention for necrotizing pancreatitis. DESIGN Retrospective study of 53 patients and a systematic review. SETTING A tertiary referral center. Main Outcome Measure Mortality. RESULTS Median timing of the intervention was 28 days. Eighty-three percent of patients had infected necrosis and 55% had preoperative organ failure. The mor...
متن کاملFamilial hypertriglyceridemia-induced acute necrotizing pancreatitis: A case report
Acutepancreatitis can infrequently be a life-threatening complication of hypertriglyceridemia. Rarely, hypertriglyceridemia can originate from an inborn genetic error in lipoproteins metabolism. This condition can be manifested by very high serum triglyceride levels (>1000 mg/dl) and a more severe and lethal form of pancreatitis. Here, we present a case of acute pancreatic which was found out t...
متن کاملSurgical Strategies for the Management of Necrotizing Pancreatitis
The surgical management of necrotizing pancreatitis continues to evolve and now includes multiple alternatives to traditional open debridement – minimally invasive strategies have been developed with the intent to decrease the physiologic stress associated with this procedure. Proponents of each procedure report their technical success and the “safety and feasibility” of their favored strategy....
متن کاملA step-up approach or open necrosectomy for necrotizing pancreatitis.
BACKGROUND Necrotizing pancreatitis with infected necrotic tissue is associated with a high rate of complications and death. Standard treatment is open necrosectomy. The outcome may be improved by a minimally invasive step-up approach. METHODS In this multicenter study, we randomly assigned 88 patients with necrotizing pancreatitis and suspected or confirmed infected necrotic tissue to underg...
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ژورنال
عنوان ژورنال: HPB
سال: 2004
ISSN: 1365-182X
DOI: 10.1080/13651820410033634