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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.
Subject(s)
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

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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