Walled off pancreatic necrosis

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Walled off pancreatic necrosis is complications of acute pancreatitis that usually occurs more than 4 weeks after acute pancreatitis.[1]

Treatment

Options include[2]:

  • Lumen-apposing metal stents (LUMS)[3]
  • open surgical necrosectomy
  • minimally invasive surgical necrosectomy
  • percutaneous catheter drainage
  • endoscopic transgastric drainage
  • direct endoscopic transgastric necrosectomy
  • nasocystic drainage

References

  1. ↑ Banks PA, Bollen TL, Dervenis C, Gooszen HG, Johnson CD, Sarr MG; et al. (2013). "Classification of acute pancreatitis--2012: revision of the Atlanta classification and definitions by international consensus". Gut. 62 (1): 102–11. doi:10.1136/gutjnl-2012-302779. PMID 23100216.
  2. ↑ Gurusamy KS, Belgaumkar AP, Haswell A, Pereira SP, Davidson BR (2016). "Interventions for necrotising pancreatitis". Cochrane Database Syst Rev. 4: CD011383. doi:10.1002/14651858.CD011383.pub2. PMID 27083933.
  3. ↑ Sharaiha RZ, Tyberg A, Khashab MA, Kumta NA, Karia K, Nieto J; et al. (2016). "Endoscopic Therapy With Lumen-apposing Metal Stents Is Safe and Effective for Patients With Pancreatic Walled-off Necrosis". Clin Gastroenterol Hepatol. doi:10.1016/j.cgh.2016.05.011. PMID 27189914.
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