Surgical Transgastric Necrosectomy for Necrotizing Pancreatitis: A Single-stage Procedure for Walled-off Pancreatic Necrosis

OBJECTIVE:The aim of this study was to evaluate the role of surgical transgastric necrosectomy (TGN) for walled-off pancreatic necrosis (WON) in selected patients. BACKGROUND:WON is a common consequence of severe pancreatitis and typically occurs 3 to 5 weeks after the onset of acute pancreatitis. W...

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Veröffentlicht in:	Annals of surgery 2020-01, Vol.271 (1), p.163-168
Hauptverfasser:	Driedger, Michael, Zyromski, Nicholas J., Visser, Brendan C., Jester, Andrea, Sutherland, Francis R., Nakeeb, Atilla, Dixon, Elijah, Dua, Monica M., House, Michael G., Worhunsky, David J., Munene, Gitonga, Ball, Chad G.
Format:	Artikel
Sprache:	eng
Schlagworte:	Drainage - methods Female Follow-Up Studies Humans Laparoscopy - methods Laparotomy - methods Male Middle Aged Pancreatectomy - methods Pancreatitis, Acute Necrotizing - diagnosis Pancreatitis, Acute Necrotizing - surgery Retrospective Studies Stomach - surgery Treatment Outcome Ultrasonography
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Zusammenfassung:	OBJECTIVE:The aim of this study was to evaluate the role of surgical transgastric necrosectomy (TGN) for walled-off pancreatic necrosis (WON) in selected patients. BACKGROUND:WON is a common consequence of severe pancreatitis and typically occurs 3 to 5 weeks after the onset of acute pancreatitis. When symptomatic, it can require intervention. METHODS:A retrospective review of patients with WON undergoing surgical management at 3 high-volume pancreatic institutions was performed. Surgical indications, intervention timing, technical methodology, and patient outcomes were evaluated. Patients undergoing intervention
ISSN:	0003-4932 1528-1140
DOI:	10.1097/SLA.0000000000003048