Walled-off pancreatic necrosis.
نویسندگان
چکیده
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 mostly based on consensus as adequate clinical trials are lacking.
منابع مشابه
Endoscopic Ultrasound-Guided Management of Pancreatic Pseudocysts and Walled-Off Necrosis
The outcome of 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 a more accurate distinction of pancreatic fluid collections, which, in turn, facilitates the corr...
متن کاملEUS‐guided Management of Pancreatic Pseudocysts and Walled‐off Necrosis
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...
متن کاملTriple Pancreatic Walled-off Fluid Collections Treated Simultaneously with Endoscopic Transmural Drainage
Pancreatic pseudocysts and walled-off pancreatic necrosis arise as a complication of pancreatitis. Multiple fluid collections are seen in 5-20% of the patients who have walled-off peripancreatic fluid collections. There is a paucity of data regarding the role of endoscopic transmural drainage in the management of multiple pancreatic fluid collections. In this case report, we present the case of...
متن کاملEndoscopic treatment of multilocular walled-off pancreatic necrosis with the multiple transluminal gateway technique
The development of minimally invasive techniques allowed access to the necrotic cavity through transperitoneal, retroperitoneal, transmural and transpapillary routes. The choice of access to walled-off pancreatic necrosis (WOPN) should depend not only on the spread of necrosis, but also on the experience of the clinical center. Herein we describe treatment of a patient with multilocular symptom...
متن کاملPancreatico-Colonic Fistula after Endoscopic Ultrasound-Guided Cyst Drainage for Pancreatic Pseudocyst: Report of Three Cases
Endoscopic ultrasound-guided cyst drainage is increasingly performed in the treatment of pancreatic pseudocysts and walled-off pancreatic necrosis. We have experienced three cases of colonic fistula after endoscopic ultrasound-guided cyst drainage. Case #1 was a patient with walled-off pancreatic necrosis, in which a fistula into the transverse colon occurred as a late complication of endoscopi...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- The Netherlands journal of medicine
دوره 70 4 شماره
صفحات -
تاریخ انتشار 2012