Pancreatic necrosis: Complications and changing trend of treatment

Mamoon Ur Rashid; Ishtiaq Hussain; Sundas Jehanzeb; Waqas Ullah; Saeed Ali; Akriti Gupta Jain; Neelam Khetpal; Sarfraz Ahmad

doi:10.4240/wjgs.v11.i4.198

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Pancreatic necrosis: Complications and changing trend of treatment

Journal article

Open access

Peer reviewed

Pancreatic necrosis: Complications and changing trend of treatment

Mamoon Ur Rashid, Ishtiaq Hussain, Sundas Jehanzeb, Waqas Ullah, Saeed Ali, Akriti Gupta Jain, Neelam Khetpal and Sarfraz Ahmad

World journal of gastrointestinal surgery, Vol.11(4), pp.198-217

04/27/2019

DOI: 10.4240/wjgs.v11.i4.198

PMCID: PMC6513789

PMID: 31123558

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Abstract

Incidence of acute pancreatitis seems to be increasing in the Western countries and has been associated with significantly increased morbidity. Nearly 80% of the patients with acute pancreatitis undergo resolution; some develop complications including pancreatic necrosis. Infection of pancreatic necrosis is the leading cause of death in these patients. A significant portion of these patients needs surgical interventions. Traditionally, the “gold standard” procedure has been the open surgical necrosectomy, which is now being completed by the relatively lesser invasive interventions. Minimally invasive surgical (MIS) procedures include endoscopic drainage, percutaneous image-guided catheter drainage, and retroperitoneal drainage. This review article discusses the open and MIS interventions for pancreatic necrosis with each having its own respective benefits and disadvantages are covered.

Necrosectomy

Minimally invasive surgery

Treatment

Complications

Pancreatic necrosis

Review

Review article

Open surgery

Details

Title: Subtitle: Pancreatic necrosis: Complications and changing trend of treatment
Creators: Mamoon Ur Rashid - Department of Internal Medicine, Advent Health Graduate Medical Education, Orlando, FL 32804, United States
Ishtiaq Hussain - Department of Gastroenterology, Cleveland Clinic, Weston, FL 33326, United States
Sundas Jehanzeb - Department of Gastroenterology, Cleveland Clinic, Weston, FL 33326, United States
Waqas Ullah - Internal Medicine, Abington Hospital, Abington, PA 19001, United States
Saeed Ali - Department of Internal Medicine, Advent Health Graduate Medical Education, Orlando, FL 32804, United States
Akriti Gupta Jain - Department of Internal Medicine, Advent Health Graduate Medical Education, Orlando, FL 32804, United States
Neelam Khetpal - Department of Internal Medicine, Advent Health Graduate Medical Education, Orlando, FL 32804, United States
Sarfraz Ahmad - Department of Gynecologic Oncology, Advent Health Cancer Institute, Orlando, FL 32804, United States
Resource Type: Journal article
Publication Details: World journal of gastrointestinal surgery, Vol.11(4), pp.198-217
Publisher: Baishideng Publishing Group Inc
DOI: 10.4240/wjgs.v11.i4.198
PMID: 31123558
PMCID: PMC6513789
ISSN: 1948-9366
eISSN: 1948-9366
Language: English
Date published: 04/27/2019
Academic Unit: General Internal Medicine; Internal Medicine
Record Identifier: 9984094213002771

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