eISSN: 1897-4317
ISSN: 1895-5770
Gastroenterology Review/Przegląd Gastroenterologiczny
Bieżący numer Archiwum Artykuły zaakceptowane O czasopiśmie Rada naukowa Bazy indeksacyjne Prenumerata Kontakt Zasady publikacji prac
Panel Redakcyjny
Zgłaszanie i recenzowanie prac online
NOWOŚĆ
Portal dla gastroenterologów!
www.egastroenterologia.pl
SCImago Journal & Country Rank
2/2018
vol. 13
 
Poleć ten artykuł:
Udostępnij:
streszczenie artykułu:
Artykuł oryginalny

Endoscopic drainage combined with percutaneous drainage in treatment of walled-off pancreatic necrosis – a single-center experience

Mateusz Jagielski
,
Marian Smoczyński
,
Michał Studniarek
,
Krystian Adrych

Data publikacji online: 2018/01/05
Pełna treść artykułu Pobierz cytowanie
 
Metryki PlumX:


Introduction
In last three decades we have been observing development of minimally invasive walled-off pancreatic necrosis (WOPN) treatment techniques. The choice of access to the necrosis and technique of treatment depends not only on the position and spread of necrosis, but in the first place on the experience of the medical center.

Aim
To assess the effectiveness and safety of combined endoscopic and percutaneous drainage of WOPN.

Material and methods
We performed a retrospective analysis of 64 consecutive patients with symptomatic WOPN, who underwent endoscopic treatment in our department between 2011 and 2013.

Results
Additional percutaneous drainage was executed during endoscopic treatment in 20/64 (31.25%) patients. Complications of treatment occurred in 4/20 (20%) patients. Complications of treatment occurred in 4/20 (20%) patients. All these complications were related to endoscopic treatment. No complications related to percutaneous drainage were noted. There were no deaths. Therapeutic success was achieved in all 20 patients. No patients required surgery. The average time of endoscopic drainage was 41.4 (11–173) days. The mean number of endoscopic procedures was 4.2 (2–12). The average time of percutaneous drainage was 11.3 (5–20) days. The medium time of follow-up was 54 (48–64) months. During the observation the recurrence of WOPN was noted in 2/20 (10%) patients. Long-term success of combined drainage was achieved in 18/20 (90%) patients.

Conclusions
In selected patients with symptomatic WOPN combined endoscopic and percutaneous drainage enables a high success rate with a low procedure-related complication rate.

© 2024 Termedia Sp. z o.o.
Developed by Bentus.