کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
5655846 1407329 2017 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Endoscopic ultrasonography-guided drainage combined with trans-duodenoscope cyclic irrigation technique for walled-off pancreatic necrosis
ترجمه فارسی عنوان
زهکشی همراه با سونوگرافی هدایت آندوسکوپی همراه با تکنیک آبیاری دایودوسنکوپ تروا برای ناکروسی پانکراس متخلخل
کلمات کلیدی
آبیاری چرخه ای، زهکشی توسط اولتراسونوگرافی آندوسکوپی، نکروز پانکراس پاک شده،
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی غدد درون ریز، دیابت و متابولیسم
چکیده انگلیسی

BackgroundEndoscopic ultrasonography-guided drainage has been established as a good treatment modality in the management of walled-off pancreatic necrosis, but the unmanageable infection of postoperation is still a thorny problem due to the poor drainage ability for solid necrotic debris only through transmural stent and nasocystic catheter.AimsIntroduce a novel therapeutic method, namely endoscopic ultrasonography-guided drainage combined with cyclic irrigation technique in managing patients with walled-off pancreatic necrosis.Methods18 patients with severe acute pancreatitis complicated with walled-off pancreatic necrosis received treatment with endoscopic ultrasonography-guided drainage combined with cyclic irrigation were involved in this retrospective study.Results17 of 18 patients with walled-off pancreatic necrosis were treated by this new therapeutic method. Subsequent surgery was performed in 1 case due to uncontrolled infection, complications such as perforation, bleeding or multiple organ failure were not observed. Treatment success rate was high (16 in 17, 94.12%).ConclusionEndoscopic ultrasonography-guided drainage combined with cyclic irrigation is an effective treatment option for symptomatic walled-off pancreatic necrosis to facilitate drainage and obviate the need for subsequent surgery or endoscopic necrosectomy.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Digestive and Liver Disease - Volume 49, Issue 1, January 2017, Pages 38-44
نویسندگان
, , , , ,