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Endotherapy for pancreatic necrosis: An update.
Ashish K Jha1, Mahesh K Goenka2, Ramesh Kumar3
1Department of Gastroenterology Indira Gandhi Institute of Medical Sciences Patna India.
Summary
Minimally invasive treatments, including endoscopic interventions, are now preferred for infected pancreatic necrosis, offering better outcomes than traditional surgery. This review updates concepts in endoscopic therapy for pancreatic necrosis.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
- Interventional Endoscopy
Background:
- Pancreatic necrosis affects 20% of acute pancreatitis patients, significantly increasing mortality and morbidity.
- Traditional open surgical necrosectomy is being replaced by a step-up approach.
- Minimally invasive treatments are increasingly favored for infected pancreatic necrosis.
Purpose of the Study:
- To critically review existing literature on pancreatic necrosis treatment.
- To update current concepts regarding endoscopic interventional therapy for pancreatic necrosis.
Main Methods:
- Literature review of endoscopic interventions for pancreatic necrosis.
- Analysis of minimally invasive treatment modalities including endoscopic drainage and necrosectomy.
- Comparison of outcomes between different treatment approaches.
Main Results:
- Minimally invasive modalities like endoscopic drainage and necrosectomy are now first-line options.
- Endoscopic interventions show good success rates with lower complication rates compared to open surgery.
- Significant advancements have been made in the treatment of infected pancreatic necrosis.
Conclusions:
- Endoscopic therapy is a successful and less invasive option for pancreatic necrosis.
- Standardization of endotherapy techniques is needed.
- Further research is required to address unresolved questions in endoscopic management of pancreatic necrosis.
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