[MINIINVASIVE AND ENDOSCOPIC METHODS OF TREATMENT OF POSTNECROTIC PANCREATIC PSEUDOCYSTS]

Area of Science:

• Gastroenterology and Hepatology
• Surgical Gastroenterology

Context:

• Acute pancreatitis frequently leads to complications like acute fluid accumulations (AAL) and postnecrotic pancreatic pseudocysts (PPP).
• These pancreatic pseudocysts can range significantly in volume, from 65 to 2750 cm³.
• Common etiologies include alcohol abuse, dietary factors, and biliary calculous disease.

Purpose:

• To evaluate the efficacy of mini-invasive and endoscopic interventions for treating AAL and PPP.
• To analyze treatment outcomes based on intervention type and timing relative to disease onset.

Summary:

• Eighty-nine patients with AAL and PPP secondary to acute pancreatitis were treated.
• Mini-invasive interventions were performed in 37% of patients, while the remainder underwent endoscopic procedures.
• Both mini-invasive and endoscopic interventions for PPP were initiated 4-8 weeks after the onset of acute pancreatitis.

Impact:

• This research highlights the successful application of minimally invasive and endoscopic techniques in managing complex pancreatic fluid collections.
• Findings support the use of these approaches as viable treatment options, potentially reducing the need for open surgery.
• The study contributes to the understanding of effective management strategies for post-pancreatitis complications.