| Retroperitoneal endoscopic debridement for infected peripancreatic necrosis. | |
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MedLine Citation:
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PMID: 10968442 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Standard management of infected peripancreatic necrosis consists of open surgical debridement and lavage--a traumatic intervention with substantial morbidity and mortality. As an alternative and novel approach with minimum invasiveness, we present fenestration of the gastric wall and debridement of infected necrosis by direct retroperitoneal endoscopy. In three patients, this strategy led to rapid clinical improvement and no serious complications. Transgastric endoscopic therapy may be a less traumatic alternative to surgery and should be further assessed in prospective studies. |
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Authors:
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H Seifert; T Wehrmann; T Schmitt; S Zeuzem; W F Caspary |
Publication Detail:
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Type: Case Reports; Letter |
Journal Detail:
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Title: Lancet Volume: 356 ISSN: 0140-6736 ISO Abbreviation: Lancet Publication Date: 2000 Aug |
Date Detail:
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Created Date: 2000-09-20 Completed Date: 2000-09-20 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 2985213R Medline TA: Lancet Country: ENGLAND |
Other Details:
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Languages: eng Pagination: 653-5 Citation Subset: AIM; IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Adult Debridement / instrumentation, methods* Endoscopy, Gastrointestinal / methods* Female Humans Infection / complications, diagnosis, surgery* Male Middle Aged Necrosis Pancreas / pathology, surgery Pancreatic Pseudocyst / complications, diagnosis, surgery Pancreatitis / complications, diagnosis, surgery* Retroperitoneal Space / surgery* Splenic Diseases / complications, diagnosis, surgery Stents Stomach / pathology, surgery Stomach Diseases / complications, diagnosis, surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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