Comparison of endoscopic and percutaneous drainage of symptomatic necrotic collections in acute necrotizing pancreatitis

Abstract

Endoscopic drainage was associated with a shorter post-procedure length of hospital stay and a greater rate of normalization of SIRS parameters than percutaneous drainage, although only the effects on heart rate and respiratory rate reached statistical significance. Further studies are needed to establish which primary drainage modality is superior for pancreatic necrotic collections.

Managing Acute Severe Necrotising Pancreatitis

“…A study by Gluck et al has also shown that a combination of both endoscopic and percutaneous drains has a potential to decrease the length of hospital stay [36]. Woo et al have compared endoscopic and percutaneous drainage and found that endoscopic drainage is associated with shorter postprocedure length of hospital stay, as well as higher rates of SIRS-related parameter normalisation, although with no significant difference in CRP levels and WCC normalisation [48]. In 2015 study, Stahl et al have suggested using a U-tube catheter aimed at reduction of drain obstruction, fistula formation, more effective flushing and reduction of resource utilisation; preliminary results showed potential of this variant of PD [49].…”