2008
DOI: 10.1159/000134275
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EUS-Guided Endoscopic Transgastric Necrosectomy in Patients with Infected Necrosis in Acute Pancreatitis

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Cited by 51 publications
(19 citation statements)
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“…In the context of pseudocyst drainage, there is no evidence of improved safety or efficacy with the use of endoscopic ultrasound (EUS) compared with conventional endoscopic drainage [29]. However, given that EUS enhances the identification of vascular structures whilst approaching the necrotic cavity it may be associated with a reduced risk of bleeding complications [18]. EUS may also broaden the spectrum of necrotic cavities suitable for endoscopic necrosectomy [30].…”
Section: Discussionmentioning
confidence: 99%
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“…In the context of pseudocyst drainage, there is no evidence of improved safety or efficacy with the use of endoscopic ultrasound (EUS) compared with conventional endoscopic drainage [29]. However, given that EUS enhances the identification of vascular structures whilst approaching the necrotic cavity it may be associated with a reduced risk of bleeding complications [18]. EUS may also broaden the spectrum of necrotic cavities suitable for endoscopic necrosectomy [30].…”
Section: Discussionmentioning
confidence: 99%
“…EUS may also broaden the spectrum of necrotic cavities suitable for endoscopic necrosectomy [30]. In the majority of the selected studies, endoscopic necrosectomy was performed under the guidance of EUS [14,15,[17][18][19][20][21][22][23]. Air embolism was not a commonly encountered complication, but was the direct cause of one death reported by Seifert et al [14].…”
Section: Discussionmentioning
confidence: 99%
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“…Endoscopic necrosectomy has been established as a treatment method for symptomatic pancreatic necroses [4][5][6][7][8][9][10][11][12][13][14]. However, it was presumed, that subsequent repeat endoscopic irrigation or external nasocystic or percutaneous drainages were necessary ( Table 1).…”
Section: Discussionmentioning
confidence: 99%
“…In 2000, Seifert et al [4] introduced an alternative endoscopic method using transgastric access and debridement of the necrotic material in three patients. Subsequently, endoscopic necrosectomy using endoscopic ultrasound guidance (EUS-G) was performed in single-center series of up to 54 patients [5][6][7][8][9][10][11][12][13]. Compared with surgery, EUS-G was associated with a relatively low complication rate and a significantly lower mortality rate.…”
mentioning
confidence: 99%