Article
Radiology, Nuclear Medicine & Medical Imaging
Hui Zhang, Xu-Dong Wen, Xiao Ma, Yong-Qiang Zhu, Zhi-Wei Jiang, Shang-Qing Huang, Tao Wang, Wei-Hui Liu
Summary: The study retrospectively analyzed 73 patients with acute pancreatitis-related WON, comparing the outcomes of CUC-PCD and UC-PCD. Results showed that CUC-PCD group had significantly smaller infected WON size, lower inflammatory response indexes, shorter catheter duration, hospitalization duration, and global costs than the UC-PCD group. The CUC-PCD approach is safe and effective for treating infected WON due to its ability to place drainage catheters optimally and perform necrosectomy in real time.
INSIGHTS INTO IMAGING
(2021)
Article
Surgery
Sahar Mack, Domenico Galasso, Mariola Marx, Maxime Robert, Elodie Romailler, Sarra Hadjer Oumrani, Nurullah Aslan, Eleni Moschouri, Alain Schoepfer, Sebastien Godat
Summary: This retrospective study evaluated the clinical outcomes and safety of EUS-guided drainage of pancreatic collections after failure of percutaneous drainage. The results showed that EUS-guided drainage of pancreatic collections is clinically effective and safe.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Gastroenterology & Hepatology
Ahmed A. Messallam, Douglas G. Adler, Raj J. Shah, Jose M. Nieto, Robert Moran, B. Joseph Elmunzer, Natalie Cosgrove, Dan Mullady, Harkirat Singh, Gregory Cote, Georgios Papachristou, Mohamed O. Othman, Chao Zhang, Huma Javaid, Michael Mercado, Steven Tsistrakis, Nikhil A. Kumta, Satish Nagula, Christopher J. Dimaio, Madeleine S. Birch, Linda Jo Taylor, Nicolas Labarre, Samuel Han, Thomas Hollander, Steven A. Keilin, Qiang Cai, Field F. Willingham
Summary: This study found that H2O2-assisted endoscopic necrosectomy had a higher clinical success rate and a shorter time to resolution with equivalent complication rates relative to standard necrosectomy.
AMERICAN JOURNAL OF GASTROENTEROLOGY
(2021)
Review
Gastroenterology & Hepatology
Babu P. Mohan, Deepak Madhu, Gregory Toy, Saurabh Chandan, Shahab R. Khan, Lena L. Kassab, Mohammad Bilal, Antonio Facciorusso, Iqbal Sandhu, Douglas G. Adler
Summary: H2O2-assisted DEN of pancreatic WON demonstrated excellent clinical outcomes with high rates of technical success and clinical success, as well as low rates of adverse events. However, further controlled studies are needed.
GASTROINTESTINAL ENDOSCOPY
(2022)
Article
Medicine, General & Internal
Tanawat Pattarapuntakul, Tummarong Charoenrit, Thanawin Wong, Nisa Netinatsunton, Bancha Ovartlarnporn, Thanapon Yaowmaneerat, Teeravut Tubtawee, Pattira Boonsri, Pimsiri Sripongpun
Summary: This study compared the clinical and radiologic resolution of symptomatic walled-off pancreatic necrosis achieved with the endoscopic step-up approach with or without radiology-guided percutaneous drainage. Results showed that both the endoscopic step-up approach and combined modality drainage were effective in relieving symptoms, but the endoscopic approach alone had a higher clinical success rate, achieved earlier clinical and radiologic resolution, and resulted in a shorter hospital stay.
MEDICINA-LITHUANIA
(2023)
Article
Medicine, General & Internal
Yajie Meng, Jiewen Ding, Chuan Tian, Min Wang, Kejiang Tang
Summary: For patients with WOPN and complete MPD disruption, endoscopic PTD with FCSEMSs and plastic stent placement may be an effective and safe treatment method.
FRONTIERS IN MEDICINE
(2022)
Article
Surgery
Shivanand Bomman, David Sanders, David Coy, Danielle La Selva, Quincy Pham, Troy Zehr, Joanna Law, Michael Larsen, Shayan Irani, Richard A. Kozarek, Andrew Ross, Rajesh Krishnamoorthi
Summary: This study aimed to compare the outcomes and safety of early and late drainage of necrotic fluid collections (NFC) in patients. The results showed that early drainage of NFC appears to be feasible and safe when performed in a tertiary care center with expertise in therapeutic endoscopic ultrasound.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Medicine, General & Internal
Cecilia Binda, Chiara Coluccio, Antonio Vizzuso, Alessandro Sartini, Monica Sbrancia, Alessandro Cucchetti, Emanuela Giampalma, Stefano Fabbri, Giorgio Ercolani, Carlo Fabbri
Summary: Direct endoscopic necrosectomy (DEN) is a challenging procedure for the debridement of walled-off pancreatic necrosis (WOPN), which may be complicated by adverse events such as bleeding. Lack of dedicated devices for DEN increases the risk of complications. This case report reviews the use of the EndoRotor system for DEN and highlights the importance of a multidisciplinary approach in managing patients with life-threatening conditions.
Article
Medicine, General & Internal
Suleyman Gunay, Betul Pakoz, Cem Cekic, Hakan Camyar, Emrah Alper, Elif Saritas Yuksel, Firdevs Topal, Omer Burcak Binicier
Summary: The study found that the use of hydrogen peroxide in endoscopic treatment of walled-off pancreatic necrosis patients has similar efficacy and safety. Additionally, it was observed that the use of hydrogen peroxide could reduce the number of endoscopic procedures required.
Review
Medicine, General & Internal
Hayat Khizar, Huang Zhicheng, Le Chenyu, Wu Yanhua, Yang Jianfeng
Summary: This meta-analysis compared the outcomes of endoscopic drainage (ED) and percutaneous drainage (PD) for pancreatic fluid collections (PFC). The results showed that ED has higher clinical success, shorter hospital stay, and lower mortality rate and re-intervention rates compared to PD.
ANNALS OF MEDICINE
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Kamyar Ghabili, Jamil Shaikh, Jeffrey Pollak, David Elwood, Bill S. Majdalany, Nariman Nezami
Summary: The study aimed to test the feasibility, safety, and effectiveness of percutaneous combined chemical and mechanical necrosectomy using Malecot anchor drain and Arrow-Trerotola percutaneous thrombolytic device (PTD) in patients with walled-off pancreatic necrosis (WOPN) compared to mechanical necrosectomy alone. The results showed a clinical success rate of 100% in the case group, indicating that percutaneous combined chemical and mechanical necrosectomy is a feasible, safe, and effective treatment for WOPN.
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY
(2023)
Article
Medicine, General & Internal
Kentaro Sato, Goro Shibukawa, Kenta Ueda, Yuki Nakajima, Kazutomo Togashi, Hiromasa Ohira
Summary: Percutaneous endoscopic necrosectomy is a safe and effective alternative to surgical necrosectomy for older patients or those with walled-off necrosis caused by acute pancreatitis.
WORLD JOURNAL OF CLINICAL CASES
(2023)
Article
Gastroenterology & Hepatology
Surinder S. Rana, Nikhil Bush, Mandeep Kang, Rajesh Gupta
Summary: This study compared the characteristics of pancreatic collections and the outcome of endoscopic drainage between patients with extra-pancreatic necrosis (EPN) and patients with pancreatic necrosis (PN) or EPN. The results showed that pancreatic collections associated with PN were larger and contained more solid necrotic debris, requiring more treatment sessions and a longer time for resolution during endoscopic drainage. Endoscopic drainage of EPN had better outcomes.
JOURNAL OF GASTROINTESTINAL AND LIVER DISEASES
(2022)
Review
Gastroenterology & Hepatology
Francisco Valverde-Lopez, Samuel Han, Sarah Coughlin, Nikhil Thiruvengadam, Christopher Moreau, Venkata S. Akshintala, Peter J. Lee
Summary: This study systematically reviewed outcomes related to endoscopic management of sterile walled-off pancreatic necrosis, finding a high treatment success rate but also a relatively high rate of adverse events, with bleeding being the most common complication.
Article
Gastroenterology & Hepatology
Ya-Qi Zhai, Marvin Ryou, Christopher C. Thompson
Summary: This study aimed to explore predictors of successful direct endoscopic necrosectomy (DEN) with lumen-apposing metal stents (LAMSs) for pancreatic walled-off necrosis (WON). The retrospective analysis revealed that paracolic gutter extension, increasing Acute Physiology and Chronic Health Evaluation II score, and >50% gland necrosis were negative predictors for success of DEN with LAMSs in WON.
GASTROINTESTINAL ENDOSCOPY
(2022)