Impact on patient outcomes of experience in the performance of endoscopic pancreatic fluid collection drainage

Harewood, Gavin C.; Wright, Curtis A.; Baron, Todd H.

doi:10.1067/mge.2003.346

Cited by 52 publications

(24 citation statements)

References 35 publications

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“…Harewood et al [31] described a learning curve of 20 successful drainage procedures for chronic pancreatic pseudocysts before dramatic improvements in pancreatic fluid collection resolution rates occurred. Selection bias also may have occurred because patients with complicated abscesses that presented with signs of sepsis or peritonitis underwent emergent surgical drainage rather than endoscopic therapy.…”

Section: Discussionmentioning

confidence: 99%

Natural orifice translumenal endoscopic drainage for pancreatic abscesses

et al. 2008

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Section: Discussionmentioning

confidence: 99%

Natural orifice translumenal endoscopic drainage for pancreatic abscesses

et al. 2008

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“…Transluminal endoscopic drainage techniques and retroperitoneal debridement laparoscopy, or even the combination of two methods, have also been used 5,22,27,30,32,43,53,65 …”

Section: Collections and Pancreatic Abscessmentioning

confidence: 99%

Quando e como tratar as complicações na necrose pancreática infectada

Silva¹,

Pacheco-Junior²,

Moricz³

et al. 2010

ABCD, arq. bras. cir. dig.

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-Introduction -Acute pancreatitis is presented in its severe form between 10% and 15% of cases and is associated with high mortality. In the initial phase, evolution characterized by the onset of organ dysfunction and subsequently by the presence of pancreatic necrosis and its complications. Methods -It was performed a literature review with consultations in the following databases: PubMed, SciELO, Lilacs. Headings used were the following: acute pancreatitis, infection, pancreatic necrosis. Conclusion -The treatment of pancreatic necrosis, despite the advent of modern methods and techniques, is still challenging. Because of the multiplicity of aspects that may take the examination of each case, in view of the extent, severity and location of facilities within a patient's care, the treatment should be individualized for each case.RESUMO -Introdução -A pancreatite aguda se apresenta na sua forma grave entre 10% e 15% dos casos e está associada com alta mortalidade. Na fase inicial da evolução caracteriza-se pelo aparecimento de disfunções orgânicas e posteriormente pela presença de necrose pancreática e suas complicações. Método -Foi realizada revisão da literatura com consultas feitas nas seguintes bases de dados: Pubmed, Scielo, Lilacs. Os descritores cruzados foram os seguintes: pancreatite aguda, infecção, necrose pancreática. Conclusão -O tratamento da necrose pancreática, apesar do advento de modernos métodos e técnicas, ainda continua desafiador. Devido à multiplicidade de aspectos que pode assumir, a análise de cada caso, tendo em vista a extensão, gravidade e meios existentes no local de atendimento do paciente, é que deverá orientar o tratamento possível, sendo ele sempre individualizado a cada caso.

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“…In one study [76], Harewood et al described their experience in 175 patients requiring drainage of pancreatic fluid collections, and demonstrated significant improvement in success rates between the first 20 procedures and the subsequent cases (45% vs. 93%; p = 0.0002) and a reduction in days to resolution (50 days, initial 20 procedures vs. 33.5 days, subsequent procedures; p = 0.05. Such data both characterize a learning curve and help set the bar for success rates possible by experts in this particular procedure.…”

Section: Training In Therapeutic Ercp Techniquesmentioning

confidence: 99%

Training and Credentialing in Gastrointestinal Endoscopy

Cohen

2008

Advanced Digestive Endoscopy: Practice and Safety

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Impact on patient outcomes of experience in the performance of endoscopic pancreatic fluid collection drainage

Cited by 52 publications

References 35 publications

Natural orifice translumenal endoscopic drainage for pancreatic abscesses

Natural orifice translumenal endoscopic drainage for pancreatic abscesses

Quando e como tratar as complicações na necrose pancreática infectada

Training and Credentialing in Gastrointestinal Endoscopy

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