2011
DOI: 10.1053/j.gastro.2011.06.073
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A Conservative and Minimally Invasive Approach to Necrotizing Pancreatitis Improves Outcome

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Cited by 654 publications
(459 citation statements)
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“…Th e DPSG cohort consisted of AP patients admitted to any one of the 15 collaborating Dutch hospitals (8 university and 7 major teaching hospitals) from 2004 to 2007 (25)(26)(27). Patients with an initial AP episode were initially screened for participation in a randomized controlled trial evaluating the use of probiotics in severe AP (PROPATRIA trial, registration No.…”
Section: Study Design and Patient Populationmentioning
confidence: 99%
“…Th e DPSG cohort consisted of AP patients admitted to any one of the 15 collaborating Dutch hospitals (8 university and 7 major teaching hospitals) from 2004 to 2007 (25)(26)(27). Patients with an initial AP episode were initially screened for participation in a randomized controlled trial evaluating the use of probiotics in severe AP (PROPATRIA trial, registration No.…”
Section: Study Design and Patient Populationmentioning
confidence: 99%
“…10,11,15,16 First-line methods were US-guided procedures, which included transcutaneous and endoscopically performed punctures and drains. 17,18 While performing the treatment puncture, we removed the content of the pathological foci at most, repeatedly washed the cavities with antiseptic solutions, including ozonized isotonic and povidone-iodine solutions. If the pathological focus contained a lot of detritus, it was drained using the Seldinger technique by installing large diameter silicone drains.…”
Section: Discussionmentioning
confidence: 99%
“…Organisms implicated are usually gram-negative rods (e.g., Escherichia coli, Klebsiella and Pseudomonas spp.) and Enterococcus species [2,21]. Infection is suspected in patients with prolonged fever, elevated WBC count, or progressive clinical deterioration despite adequate medical therapy.…”
Section: Detection Of Infectionmentioning
confidence: 99%
“…Infection is suspected in patients with prolonged fever, elevated WBC count, or progressive clinical deterioration despite adequate medical therapy. CECT can confirm the diagnosis by showing intra-pancreatic or peri-pancreatic air, but it is a rare finding [2,21]. Image guided percutaneous Fineneedle aspiration (FNA) should be done for Gram's stain and culture in suspected infective necrosis.…”
Section: Detection Of Infectionmentioning
confidence: 99%