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Z Gastroenterol. 2019 Jul;57(7):852-858. doi: 10.1055/a-0914-3502. Epub 2019 Jul 9.

[Endoscopic vacuum treatment of an infected walled-off pancreatic necrosis].

[Article in German; Abstract available in German from the publisher]

Author information

1
Gastroenterologie, Magen-Darm-Zentrum, Städt. Krankenhaus Heinsberg, Germany.

Abstract

in English, German

Necrotizing pancreatitis remains a therapeutic challenge. Thirty-eight percent of all cases lead to an early organ failure and 15 % cause death. Interventions are necessary in 38 % 1.Due to lower mortality compared to open surgery, both endoscopic treatment and minimally invasive surgery are established 2.Endoscopic vacuum therapy can be an auxiliary method for this indication, with only a few case reports existing. Recommendation is still unclear, compared to standard methods like endoscopic necrosectomy, drainage and irrigation (see ESGE Guideline "Endoscopic management of acute necrotizing pancreatitis" 2018; Recommendation 4.2.8) 1.The actual case shows a successful endoscopic vacuum therapy of an infected walled-off pancreatic necrosis. A modified open-pore film drainage (OFD) is combined with endoscopic necrosectomy.

PMID:
31288281
DOI:
10.1055/a-0914-3502
[Indexed for MEDLINE]

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