therapy with early endoscopy for symptomatic pancreatic necrotic collection

Abstract

EUS-guided transmural endoscopic drainage It can treat the late stages of Acute Necrotizing Pancreatitis (ANP), Walled-off pancreatic necrosis ( WOPN). Still, in the initial stages of ANP, the endoscopic function s not completely clear. Our aim We are comparing endoscopic draining of WOPN with early endoscopic treatment of Acute Necrotizing Pancreatic Collection (ANCs). Methods There were 142 ANP patients with necrotizing pancreatic collection who received transmural endoscopic drainage. In 50 (35.21%) cases with ANC (Group 1) and 92 (64.79%) individuals with WOPN (Group 2), endoscopic drainage was carried out after the first 4 -5 weeks following ANP. Results The patient's average age was 49.9 years (range: 22–79), and 59%of them were male. In Groups 1 and 2, the mean active drainage timing was 26.8 and 16.9 days (P = 0.0001) in Group 1 and 270.8 and 164.2 days (P = 0.0001) in Group 2, there was a medium of 9.5 and 4.5 endoscopic drainages with (P = 0.0001). No significant differences in long-standing success rates between the two groups (P > 0.05 for each). Conclusion Within the first 4-5 weeks later, ANP, transmural endoscopic intervention is an sufficient treating of early ANCs. However, more procedures and a longer duration of treatment following endoscopy in WOPN of drainage are needed.