内镜下胰腺坏死经壁引流的时机:扩大视野!

IF 0.4 Q4 GASTROENTEROLOGY & HEPATOLOGY

Journal of Digestive Endoscopy Pub Date : 2023-09-28 DOI:10.1055/s-0043-1775758

Surinder Singh Rana

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引用次数: 0

摘要

内镜下腔内引流(ETD)传统上是对具有良好围壁的集合进行的，因此它被提倡用于壁闭塞性坏死。然而，最近，回顾性研究报道，对于没有形成良好壁的收集患者，也可以安全地进行ETD，并且报道的结果优于经皮引流治疗的患者。早期ETD治疗感染性胰腺坏死的安全性和有效性的证据很少，因此，在这篇新闻和观点中，我将讨论最近发表的一项系统综述和荟萃分析，比较早期(4周)和标准(≥4周)胰腺坏死引流的结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Timing of Endoscopic Transmural Drainage for Pancreatic Necrosis: Expanding the Horizon!

Abstract Endoscopic transluminal drainage (ETD) has been traditionally performed on collections that have a well-formed enclosing wall and therefore it was advocated for walled-off necrosis. However, recently, retrospective studies have reported that ETD can be safely performed in patients with collections without a well-formed wall also and reported outcomes better than those patients who were treated with percutaneous drainage. The evidence for safety and efficacy of early ETD for infected pancreatic necrosis is scanty and therefore, in this news and views, I will be discussing a recently published systematic review and meta-analysis comparing outcomes after early (<4 weeks) and standard (≥4 weeks) drainage of pancreatic necrosis.

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来源期刊

Journal of Digestive Endoscopy GASTROENTEROLOGY & HEPATOLOGY-

自引率

28.60%

发文量

审稿时长

22 weeks

期刊介绍： The Journal of Digestive Endoscopy (JDE) is the official publication of the Society of Gastrointestinal Endoscopy of India that has over 1500 members. The society comprises of several key clinicians in this field from different parts of the country and has key international speakers in its advisory board. JDE is a double-blinded peer-reviewed, print and online journal publishing quarterly. It focuses on original investigations, reviews, case reports and clinical images as well as key investigations including but not limited to cholangiopancreatography, fluoroscopy, capsule endoscopy etc.