Complex Interventional Treatment of Extensive Consequences of Necrotizing Pancreatitis - Case Report

• Authors: Mateusz Jagielski , Marian Smoczyński , Michał Studniarek , Zbigniew Śledziński , Krystian Adrych
• Languages of publication: EN

Abstracts

EN

The paper presents description of the effective treatment of patients with extensive consequences of necrotizing pancreatitis. The strategy of treatment was to extend access to necrotic areas („step-up approach”). Applied endoscopic transmural access (transgastric), percutaneous access (transperitoneal) and surgical access. The cooperation endoscopist, surgeon and interventional radiologist gave very beneficial clinical effects in patients with extensive complications of acute pancreatitis.

Keywords

EN

walled-off pancreatic necrosis; acute pancreatitis; endoscopic drainage; percutaneous drainage; surgical drainage

• Publisher: De Gruyter Open
• Journal: Polish Journal of Surgery
• Year: 2015
• Volume: 87
• Issue: 1
• Pages: 39-42

Dates

online

1 - 3 - 2015

received

19 - 2 - 2014

Contributors

author

Mateusz Jagielski

• Department of Gastroenterology and Hepatology Kierownik: prof. dr hab. K. Adrych

author

Marian Smoczyński

• Department of Gastroenterology and Hepatology Kierownik: prof. dr hab. K. Adrych

author

Michał Studniarek

• Department of Radiology Kierownik: prof. dr hab. M. Studniarek

author

Zbigniew Śledziński

• Department of General, Endocrine and Transplant Surgery Kierownik: prof. dr hab. Z. Śledziński Medical University in Gdañsk

author

Krystian Adrych

• Department of Gastroenterology and Hepatology Kierownik: prof. dr hab. K. Adrych

References

• 1. Ramia JM, de la Plaza R, Quińones-Sampedro JE et al.: Walled-off pancreatic necrosis. Netherlands J of Med 2012; 70(4): 168-71.
• 2. Stamatakos M, Stefanaki C, Kontzoglou K et al.: Walled off pancreatic necrosis. World J Gastroenterol 2010; 16: 1701-12.
• 3. Freeman ML, Werner J, Hjalmar T et al.: Interventions for necrotizing pancreatitis: summary of a multidisciplinary consensus conference. Pancreas 2012; 41(8): 1176-94.[PubMed][Crossref]
• 4. Papachristou GI, Takahashi N, Chahal P et al.: Peroral endoscopic drainage/debridement of walled- off pancreatic necrosis. Ann Surg 2007; 245:943-51.[WoS]
• 5. Baron TH, Kozarek RA: Endotherapy for Organized Pancreatic Necrosis: perspectives after 20 years. Clin Gastroenterol Hepatol 2012; 10(11):1202-07.[WoS][Crossref][PubMed]
• 6. Bakker OJ, van Santvoort HC, van Brunschot Set al.: Endoscopic transgastric vs surgical necrosectomy for infected necrotizing pancreatitis: a randomized trial. JAMA 2012; 307 (10): 1053-61.[WoS]
• 7. Loveday BP, Mittal A, Phillips A, Windsor JA: Minimally invasive management of pancreatic abscess, pseudocyst, and necrosis: a systematic review of current guidelines. World J Surg 2008; 32: 2383-94.[WoS][Crossref][PubMed]
• 8. Raczynski S, Teich N, Borte G et al.: Percutaneous transgastric irrigation drainage in combination with endoscopic necrosectomy in necrotizing pancreatitis (with videos). Gastrointest Endosc 2006;64: 420-24.
• 9. van Santvoort HC, Besselink MG, Bakker OJ etal.: A step-up approach or open necrosectomy for necrotizing pancreatitis. New Engl J of Med 2010; 362: 1491-1502.
• 10. Smoczyñski M, Marek I, Dubowik M et al.: Endoscopic drainage/ debridement of walled-off pancreatic necrosis- single center experience of 112 cases. Pancreatology 2014; 14 (2): 137-42.[PubMed][Crossref][WoS]
• 11. Talreja JP, Kahaleh M: Endotherapy for pancreatic necrosis and abscess: endoscopic drainage and necrosectomy. J Hepatobiliary Pancreat Surg 2009; 16: 605-12.[WoS]

Identifiers

DOI

10.1515/pjs-2015-0016