Percutaneous Endoscopic Necrosectomy—A Review of the Literature
In this article, an attempt was made to clarify the role of percutaneous endoscopic necrosectomy (PEN) in the interventional treatment of pancreatic necrosis. A comprehensive review of the current literature was performed to identify publications on the role of PEN in patients with consequences of a...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-07-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/14/3932 |
| _version_ | 1797433481556393984 |
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| author | Mateusz Jagielski Agata Chwarścianek Jacek Piątkowski Marek Jackowski |
| author_facet | Mateusz Jagielski Agata Chwarścianek Jacek Piątkowski Marek Jackowski |
| author_sort | Mateusz Jagielski |
| collection | DOAJ |
| description | In this article, an attempt was made to clarify the role of percutaneous endoscopic necrosectomy (PEN) in the interventional treatment of pancreatic necrosis. A comprehensive review of the current literature was performed to identify publications on the role of PEN in patients with consequences of acute necrotizng pancreatitis. The aim of the study was to review the literature on minimal invasive necrosectomy, with emphasis on PEN using esophageal self-expanding metal stents (SEMS). The described results come from 15 studies after a review of the current literature. The study group comprised 52 patients (36 men and 16 women; mean age, 50.87 (13–75) years) with walled-off pancreatic necrosis, in whom PEN using a self-expandable esophageal stent had been performed. PEN was successfully completed in all 52 patients (100%). PEN complications were observed in 18/52 (34.62%) patients. Clinical success was achieved in 42/52 (80.77%) patients, with follow-up continuing for an average of 136 (14–557) days. In conclusion, the PEN technique is potentially effective, with an acceptable rate of complications and may be implemented with good clinical results in patients with pancreatic necrosis. |
| first_indexed | 2024-03-09T10:17:37Z |
| format | Article |
| id | doaj.art-a842b33a3123430d99854977eccb5e8c |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-09T10:17:37Z |
| publishDate | 2022-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-a842b33a3123430d99854977eccb5e8c2023-12-01T22:17:42ZengMDPI AGJournal of Clinical Medicine2077-03832022-07-011114393210.3390/jcm11143932Percutaneous Endoscopic Necrosectomy—A Review of the LiteratureMateusz Jagielski0Agata Chwarścianek1Jacek Piątkowski2Marek Jackowski3Department of General, Gastroenterological and Oncological Surgery Collegium Medicum, Nicolaus Copernicus University, 87-100 Torun, PolandDepartment of General, Gastroenterological and Oncological Surgery Collegium Medicum, Nicolaus Copernicus University, 87-100 Torun, PolandDepartment of General, Gastroenterological and Oncological Surgery Collegium Medicum, Nicolaus Copernicus University, 87-100 Torun, PolandDepartment of General, Gastroenterological and Oncological Surgery Collegium Medicum, Nicolaus Copernicus University, 87-100 Torun, PolandIn this article, an attempt was made to clarify the role of percutaneous endoscopic necrosectomy (PEN) in the interventional treatment of pancreatic necrosis. A comprehensive review of the current literature was performed to identify publications on the role of PEN in patients with consequences of acute necrotizng pancreatitis. The aim of the study was to review the literature on minimal invasive necrosectomy, with emphasis on PEN using esophageal self-expanding metal stents (SEMS). The described results come from 15 studies after a review of the current literature. The study group comprised 52 patients (36 men and 16 women; mean age, 50.87 (13–75) years) with walled-off pancreatic necrosis, in whom PEN using a self-expandable esophageal stent had been performed. PEN was successfully completed in all 52 patients (100%). PEN complications were observed in 18/52 (34.62%) patients. Clinical success was achieved in 42/52 (80.77%) patients, with follow-up continuing for an average of 136 (14–557) days. In conclusion, the PEN technique is potentially effective, with an acceptable rate of complications and may be implemented with good clinical results in patients with pancreatic necrosis.https://www.mdpi.com/2077-0383/11/14/3932necrosisretroperitoneal accesstransmural accesspreferred |
| spellingShingle | Mateusz Jagielski Agata Chwarścianek Jacek Piątkowski Marek Jackowski Percutaneous Endoscopic Necrosectomy—A Review of the Literature Journal of Clinical Medicine necrosis retroperitoneal access transmural access preferred |
| title | Percutaneous Endoscopic Necrosectomy—A Review of the Literature |
| title_full | Percutaneous Endoscopic Necrosectomy—A Review of the Literature |
| title_fullStr | Percutaneous Endoscopic Necrosectomy—A Review of the Literature |
| title_full_unstemmed | Percutaneous Endoscopic Necrosectomy—A Review of the Literature |
| title_short | Percutaneous Endoscopic Necrosectomy—A Review of the Literature |
| title_sort | percutaneous endoscopic necrosectomy a review of the literature |
| topic | necrosis retroperitoneal access transmural access preferred |
| url | https://www.mdpi.com/2077-0383/11/14/3932 |
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