Journal
WORLD JOURNAL OF CLINICAL CASES
Volume 10, Issue 20, Pages 6769-6783Publisher
BAISHIDENG PUBLISHING GROUP INC
DOI: 10.12998/wjcc.v10.i20.6769
Keywords
Pancreatitis; Acute necrotizing; Drainage; Catheters; Stents; Therapeutic irrigation; Debridement; Collections
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Moderately severe and severe acute pancreatitis are characterized by local and systemic complications. Local complications, such as necrotic fluid collections, are important in the late phase of the disease and require drainage. Different drainage methods have their own advantages and disadvantages and are often used in combination.
Moderately severe and severe acute pancreatitis is characterized by local and systemic complications. Systemic complications predominate the early phase of acute pancreatitis while local complications are important in the late phase of the disease. Necrotic fluid collections represent the most important local complication. Drainage of these collections is indicated in the setting of infection, persistent or new onset organ failure, compressive or pressure symptoms, and intraabdominal hypertension. Percutaneous, endoscopic, and minimally invasive surgical drainage represents the various methods of drainage with each having its own advantages and disadvantages. These methods are often complementary. In this minireview, we discuss the indications, timing, and techniques of drainage of pancreatic fluid collections with focus on percutaneous catheter drainage. We also discuss the novel methods and techniques to improve the outcomes of percutaneous catheter drainage.
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