Timing of Surgical Intervention in Necrotizing Pancreatitis

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منابع مشابه

Timing 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...

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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...

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Necrotizing pancreatitis: diagnosis, imaging, and intervention.

Acute necrotizing pancreatitis is a severe form of acute pancreatitis characterized by necrosis in and around the pancreas and is associated with high rates of morbidity and mortality. Although acute interstitial edematous pancreatitis is diagnosed primarily on the basis of signs, symptoms, and laboratory test findings, the diagnosis and severity assessment of acute necrotizing pancreatitis are...

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Timing of intervention in acute pancreatitis.

This review examines the appropriate timing of intervention in acute pancreatitis. In gallstone pancreatitis, it is now clear that cholecystectomy during the primary admission carries no greater risk of complications than delayed cholecystectomy and enables earlier recovery to normal activity. This course of action pre-empts a second, possibly fatal attack of acute pancreatitis. Cholecystectomy...

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Surgical 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....

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ژورنال

عنوان ژورنال: Archives of Surgery

سال: 2007

ISSN: 0004-0010

DOI: 10.1001/archsurg.142.12.1194