Case Report
Year 2017,
Volume: 25 Issue: 1, 21 - 23, 18.04.2017
Abstract
Walled-off nekroz, nekrotizan pankreatit geçiren hastalarda görülebilen ciddi bir komplikasyondur. Walled-off nekroz klinik olarak asemptomatik olabileceği gibi farklı ateş, bulantı-kusma, karın ağrısı gibi semptomlarla da kendini gösterebilir. Endoskopik nekrozektomi son yıllarda kullanım sıklığı artan bir tedavi yöntemidir. Perkütan drenaja kıyasla başarı şansı yüksektir. Cerrahi nekrozektomiye kıyasla da daha az mortaliteye sahiptir.
Keywords
References
- Banks PA, Bollen TL, Dervenis C, et al; Acute Pancreatitis Classification Working Group. Classification of acute pancreatitis – 2012: revision of the Atlanta classification and definitions by international consensus. Gut 2013;62:102-11.
- da Costa DW, Boerma D, van Santvoort HC, et al. Staged multidisciplinary step-up management for necrotizing pancreatitis. Br J Surg 2014;101:65-79.
- Isayama H, Nakai Y, Rerknimitr R, et al. Asian consensus statement on endoscopic management of walled-off necrosis Part 1: Epidemiology, diagnosis, and treatment. J Gastroenterol Hepatol 2016;31:1546-54.
- Adler DG, Siddiqui AA. What’s in a name? Pancreatic pseudocysts, walled- off necrosis, and pancreatic fluid collections. Endosc Ultrasound 2016;5:215-7.
- Morgan DE, Baron TH, Smith JK, et al. Pancreatic fluid collections prior to intervention: evaluation with MR imaging compared with CT and US. Radiology 1997;203:773-8.
- Takahashi N, Papachristou GI, Schmit GD. CT findings of walled-off pancreatic necrosis (WOPN): differentiation from pseudocyst and prediction of outcome after endoscopic Therapy. Eur Radiol 2008;18:2522-9.
- van Santvoort HC, Bakker OJ, Bollen TL, et al; Dutch Pancreatitis Study Group. A conservative and minimally invasive approach to necrotizing pancreatitis improves outcome. Gastroenterology 2011;141:1254-63.
- Voermans RP, Besselink MG, Fockens P. Endoscopic management of walled-off pancreatic necrosis. J Hepatobiliary Pancreat Sci 2015;22:20-6.
- ASGE Standards of Practice Committee, Muthusamy VR, Chandrasekhara V, Acosta RD, et al. The role of endoscopy in the diagnosis and treatment of inflammatory pancreatic fluid collections. Gastrointest Endosc 2016;83:481-8.
- Bang JY, Wilcox CM, Trevino J, et al. Factors impacting treatment outcomes in the endoscopic management of walled-off pancreatic necrosis. J Gastroenterol Hepatol 2013;28:1725-32.
- van Brunschot S, Fockens P, Bakker OJ, et al. Endoscopic transluminal necrosectomy in necrotising pancreatitis: a systematic review. Surg Endosc 2014;28:1425-38.
Year 2017,
Volume: 25 Issue: 1, 21 - 23, 18.04.2017
Abstract
Walled-off necrosis is a serious complication of acute necrotizing pancreatitis.
Clinically, walled-off necrosis can be asymptomatic or can lead to various
symptoms, including fever, abdominal pain, and nausea. Nowadays,
the choice of endoscopic necrosectomy as a treatment option for walled-off
is increasing rapidly, in part because it is more effective than percutaneous
drainage. Also, the mortality rate is lower in walled-off than in surgical necrosectomy.
Key words:
References
- Banks PA, Bollen TL, Dervenis C, et al; Acute Pancreatitis Classification Working Group. Classification of acute pancreatitis – 2012: revision of the Atlanta classification and definitions by international consensus. Gut 2013;62:102-11.
- da Costa DW, Boerma D, van Santvoort HC, et al. Staged multidisciplinary step-up management for necrotizing pancreatitis. Br J Surg 2014;101:65-79.
- Isayama H, Nakai Y, Rerknimitr R, et al. Asian consensus statement on endoscopic management of walled-off necrosis Part 1: Epidemiology, diagnosis, and treatment. J Gastroenterol Hepatol 2016;31:1546-54.
- Adler DG, Siddiqui AA. What’s in a name? Pancreatic pseudocysts, walled- off necrosis, and pancreatic fluid collections. Endosc Ultrasound 2016;5:215-7.
- Morgan DE, Baron TH, Smith JK, et al. Pancreatic fluid collections prior to intervention: evaluation with MR imaging compared with CT and US. Radiology 1997;203:773-8.
- Takahashi N, Papachristou GI, Schmit GD. CT findings of walled-off pancreatic necrosis (WOPN): differentiation from pseudocyst and prediction of outcome after endoscopic Therapy. Eur Radiol 2008;18:2522-9.
- van Santvoort HC, Bakker OJ, Bollen TL, et al; Dutch Pancreatitis Study Group. A conservative and minimally invasive approach to necrotizing pancreatitis improves outcome. Gastroenterology 2011;141:1254-63.
- Voermans RP, Besselink MG, Fockens P. Endoscopic management of walled-off pancreatic necrosis. J Hepatobiliary Pancreat Sci 2015;22:20-6.
- ASGE Standards of Practice Committee, Muthusamy VR, Chandrasekhara V, Acosta RD, et al. The role of endoscopy in the diagnosis and treatment of inflammatory pancreatic fluid collections. Gastrointest Endosc 2016;83:481-8.
- Bang JY, Wilcox CM, Trevino J, et al. Factors impacting treatment outcomes in the endoscopic management of walled-off pancreatic necrosis. J Gastroenterol Hepatol 2013;28:1725-32.
- van Brunschot S, Fockens P, Bakker OJ, et al. Endoscopic transluminal necrosectomy in necrotising pancreatitis: a systematic review. Surg Endosc 2014;28:1425-38.
There are 11 citations in total.
Details
| Journal Section | Articles |
|---|---|
| Authors | |
| Publication Date | April 18, 2017 |
| Published in Issue | Year 2017 Volume: 25 Issue: 1 |