The clinical practice and related reflections of staged step-up approach in the treatment of patients with severe acute pancreatitis / 中华外科杂志
Chinese Journal of Surgery
;
(12): 653-656, 2015.
Article
in Chinese
| WPRIM
| ID: wpr-308503
ABSTRACT
Both new insights in the pathophysiology of severe acute pancreatitis (SAP) and upspringing related evidence-based supports prompt the staged step-up approach, which stress emphasis on minimal invasiveness and damage control, to be accepted and advocated by the majority of guidelines. For documented or suspected patients with infected pancreatic necrosis, an imaging-guided percutaneous catheter drainage or an endoscopic transluminal drainage should be initially performed followed by, if necessary, a minimal access retroperitoneal necrosectomy, or a video-assisted retroperitoneal debridement, or an endoscopic transluminal necrosectomy, or an even an open access necrosectomy. The outstanding performance of staged step-up approach in patients with SAP has been justified from both a clinical and a health economic point of view, meanwhile, there are some issues remained to be further elucidated and optimized.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pancreatitis
/
Retroperitoneal Space
/
General Surgery
/
Drainage
/
Acute Disease
/
Treatment Outcome
/
Debridement
/
Endoscopy
Type of study:
Practice guideline
Limits:
Humans
Language:
Chinese
Journal:
Chinese Journal of Surgery
Year:
2015
Type:
Article
Similar
MEDLINE
...
LILACS
LIS