779 Biliary Stricture After Necrotizing Pancreatitis: An Underappreciated Challenge

Maatman, Thomas K.; Ceppa, Eugene P.; Easler, Jeffrey J.; Fogel, Evan L.; Gromski, Mark A.; House, Michael G.; Nakeeb, Attila; Schmidt, C. Max; Sherman, Stuart; Zyromski, Nicholas J.

doi:10.1016/s0016-5085(20)34480-2

Cited by 1 publication

(1 citation statement)

References 25 publications

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“…Biliary stricture complicates 16% of patients with pancreatic necrosis. Bile duct strictures associated with pancreatic necrosis are identified at 4 to 12 months following diagnosis of pancreatic necrosis and associate with pancreatic necrosis involving the head of the pancreas [ 6 , 49 ]. Endoscopic therapy is technically feasible at the time of diagnosis in 68% of patients and affords definitive treatment in 83% of these patients with a median time for stricture resolution of 6 months.…”

Section: Approach To Complications Associated With Wonmentioning

confidence: 99%

The role of endoscopic therapy in the minimally invasive management of pancreatic necrosis

Easler

2021

Korean J Intern Med

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Pancreatic necrosis is among the most frequently encountered local complications of acute pancreatitis and associates with severe disease. Infected pancreatic necrosis further enhances the risk for morbidity and mortality. Pancreatic fluid collections that result from pancreatic necrosis evolve from acute necrotic collections to walled off necrosis and are defined by their distinct characteristics on cross sectional imaging. A variety of interventions spanning multiple disciplines are available for the drainage and debridement of pancreatic necrosis. Prospective, randomized trials have identified management strategies that incorporate minimally invasive interventions as having the best outcomes for patients with symptomatic pancreatic necrosis. The scientific literature has confidently positioned endoscopic drainage and necrosectomy among the most effective interventions for patients with symptomatic walled off necrosis. Innovations such as the use of metallic stents, chemical debridement and multiple modalities for drainage of pancreatic necrosis show promise in improving outcomes for patients managed with endoscopic interventions.

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Section: Approach To Complications Associated With Wonmentioning

confidence: 99%

The role of endoscopic therapy in the minimally invasive management of pancreatic necrosis

Easler

2021

Korean J Intern Med

View full text Add to dashboard Cite

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779 Biliary Stricture After Necrotizing Pancreatitis: An Underappreciated Challenge

Cited by 1 publication

References 25 publications

The role of endoscopic therapy in the minimally invasive management of pancreatic necrosis

The role of endoscopic therapy in the minimally invasive management of pancreatic necrosis

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