[Interventional endoscopic treatment in acute pancreatitis]
Marcus Hollenbach1, Jürgen Feisthammel2, Albrecht Hoffmeister2
1Bereich Gastroenterologie, Klinik für Onkologie, Gastroenterologie, Hepatologie, Pneumologie und Infektiologie, Department für Innere Medizin, Neurologie und Dermatologie, Universitätsklinikum Leipzig AöR, Liebigstr. 20, 04103, Leipzig, Deutschland. marcus.hollenbach@medizin.uni-leipzig.de.
Der Internist
|September 21, 2021
Summary
Endoscopic management is now standard for severe acute pancreatitis (AP), particularly for complications like walled-off necrosis. This approach involves minimally invasive techniques for effective treatment.
Area of Science:
- Gastroenterology
- Interventional Endoscopy
- Pancreatic Diseases
Background:
- Acute pancreatitis (AP) is a common gastrointestinal disease.
- While most cases are mild, 20% develop severe AP with local/systemic complications.
- This article reviews endoscopic management for severe AP.
Purpose of the Study:
- Classify AP using the revised Atlanta classification.
- Detail local and systemic complications of AP.
- Summarize current evidence on endoscopic management of severe AP.
Main Methods:
- Literature review of specialist journals.
- Analysis of current clinical guidelines.
Main Results:
- Severe AP is defined by systemic (e.g., organ failure) and/or local complications (e.g., acute necrotic collections, walled-off necrosis).
- Staged endoscopic treatment, including ultrasound-guided drainage and necrosectomy, is established for infected collections and pseudocysts.
- Treatment requires interdisciplinary management in specialized centers.
Conclusions:
- Interventional endoscopy is the established standard for treating severe AP.
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