Key issues in endoscopic drainage and debridement treatment in acute necrotizing pancreatitis
HE Wen-hua
ZHU Yin
Abstract：Infected pancreatic necrosis is a major local complication in the later stages of acute necrotizing pancreatitis,and it is the main cause of prolonged hospitalization and death.Minimally invasive step-up therapy is currently considered superior to traditional open surgery,and endoscopic step-up therapy is internationally recommended as the preferred intervention method because it has fewer complications,less hospitalization time,and less hospitalization cost than minimally invasive surgical procedures.Minimally invasive step-up therapy includes initial endoscopic transmural drainage or percutaneous drainage,and endoscopic transgastric necrosectomy,video-assisted retroperitoneal debridement,or sinus tract endoscopy if necessary.
Keywords：acute necrotizing pancreatitiswalled-off necro-sisendoscopic therapy
Publication Date：2024-05-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 521-524 )