Pancreas · 2025
Complications Requiring Abdominal Surgery in Endoscopically Treated Patients With Pancreatic Walled-off Necrosis: Single Centre Case Series.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Rasmussen Lise, Ebrahim Mohamed, Werge Mikkel Parsberg, Schefte David Fenger, Lauritsen Morten Laksáfoss, Novovic Srdan, Karstensen John Gásdal
Аннотация
OBJECTIVE: Although surgery has a limited role in the treatment of pancreatic walled-off necrosis (WON), complications may arise during endoscopic treatment that require surgical intervention. Likewise, insufficient endoscopic debridement may necessitate surgical step-up. The aim of this study was to evaluate complications necessitating abdominal surgery in patients undergoing endoscopic treatment for symptomatic WON.
MATERIALS AND METHODS: In this retrospective study, we reviewed consecutive patients with WON treated endoscopically at a tertiary referral center during a 10-year period to identify cases who required abdominal emergency surgery.
RESULTS: A total of 271 patients with WON were included, of whom 24 (9%) developed abdominal complications requiring surgical intervention. Eight patients underwent surgery before endoscopic intervention and 16 (66%) after. The most prevalent complication was intestinal ischemia in 11 cases (46%), bleeding in 4 cases (17%), intestinal perforation in 3 cases (13%), bowel stenosis in 3 cases (13%), and fistula in 3 cases (13%). The mortality during admission did not differ significantly between patients requiring surgery and patients who did not (20.8% vs 13.8%, P = 0.392).
CONCLUSIONS: This study demonstrates that complications requiring abdominal surgery in patients undergoing endoscopic treatment for WON occur in one of 10 patients, intestinal ischemia being the most frequent cause of intervention.
MATERIALS AND METHODS: In this retrospective study, we reviewed consecutive patients with WON treated endoscopically at a tertiary referral center during a 10-year period to identify cases who required abdominal emergency surgery.
RESULTS: A total of 271 patients with WON were included, of whom 24 (9%) developed abdominal complications requiring surgical intervention. Eight patients underwent surgery before endoscopic intervention and 16 (66%) after. The most prevalent complication was intestinal ischemia in 11 cases (46%), bleeding in 4 cases (17%), intestinal perforation in 3 cases (13%), bowel stenosis in 3 cases (13%), and fistula in 3 cases (13%). The mortality during admission did not differ significantly between patients requiring surgery and patients who did not (20.8% vs 13.8%, P = 0.392).
CONCLUSIONS: This study demonstrates that complications requiring abdominal surgery in patients undergoing endoscopic treatment for WON occur in one of 10 patients, intestinal ischemia being the most frequent cause of intervention.