Managing Infected Pancreatic Necrosis

被引：9

作者：

Thomson, John-Edwin ^{[1
,2
]}

Van Dijk, Sven M. ^{[2
,3
]}

Brand, Martin ^{[4
,5
]}

Van Santvoort, Hjalmar C. ^{[3
,6
]}

Besselink, Marc G. ^{[2
]}

机构：

[1] Univ Witwatersrand, Dept Surg, Johannesburg, South Africa

[2] Univ Amsterdam, Amsterdam UMC, Dept Surg Amsterdam Gastroenterol & Metab, Amsterdam, Netherlands

[3] St Antonius Hosp, Dept Surg, Nieuwegein, Netherlands

[4] Univ Pretoria, Dept Surg, Pretoria, South Africa

[5] Univ Witwatersrand, Sch Physiol, Johannesburg, South Africa

[6] Univ Utrecht, Univ Med Ctr, Utrecht Canc Ctr, Dept Surg, Utrecht, Netherlands

来源：

CHIRURGIA | 2018年 / 113卷 / 03期

关键词：

pancreatitis; infected pancreatic necrosis; necrosectomy;

D O I：

10.21614/chirurgia.113.3.291

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The management of infected pancreatic necrosis has historically been based on early, open necrosectomy, associated with significant mortality. In recent years, an evidence based transformation has occurred towards the step-up approach consisting of percutaneous catheter drainage, if necessary, followed by minimally invasive necrosectomy. More recently the endoscopic step-up approach has gained popularity. This review evaluates the diagnosis, prevention and treatment of infected necrotizing pancreatitis.

引用

页码：291 / 299

页数：9

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