Invasive intervention timing for infected necrotizing pancreatitis: Late invasive intervention is not late for collection

被引:3
|
作者
Xiao, Nian-Jun [1 ]
Cui, Ting-Ting [2 ]
Liu, Fang [2 ]
Li, Wen [3 ,4 ]
机构
[1] Air Force Med Univ, Air Force Med Ctr, Dept Gastroenterol, Beijing 100142, Peoples R China
[2] Med Sch Chinese PLA, Dept Gastroenterol & Hepatol, Beijing 100853, Peoples R China
[3] Chinese Peoples Liberat Army Gen Hosp, Med Ctr 1, Dept Gastroenterol & Hepatol, Beijing 100853, Peoples R China
[4] Chinese Peoples Liberat Army Gen Hosp, Med Ctr 1, Dept Gastroenterol & Hepatol, 28 Fuxing Rd, Beijing 100853, Peoples R China
关键词
Pancreatitis; Walled-off necrosis; Minimally invasive surgery; Endoscopic drainage; Endoscopic gastric fenestration; STEP-UP APPROACH; NECROSECTOMY;
D O I
10.12998/wjcc.v10.i23.8057
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
With the advance of invasive interventions, the treatment model for infected necrotizing pancreatitis (INP) has shifted from open surgery to the step-up minimally invasive treatment. Late intervention, originating from the open surgery era, has been questioned in the minimally invasive period. With the emergence of new high-quality evidence about the timing for intervention, it seems to be increasingly apparent that, even in the age of minimal invasiveness, "late intervention " waiting for the necrotic collections to be encapsulated is still necessary. This opinion review mainly discusses the intervention timing for INP.
引用
收藏
页码:8057 / 8062
页数:6
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