A novel mini-invasive step-up approach for the treatment of severe acute pancreatitis with extensive infected necrosis: A single center case series study.

ABSTRACT:

Rationale

Complete removal of necrosis is critical for treating patients with severe acute pancreatitis (SAP) presenting infection of pancreatic necrosis (IPN). Frequently used mini-invasive methods include the surgical step-up approach suitable for necrosis extending laterally, whereas the endoscopic step-up approach is suitable for medial necrosis. However, in patients with extensive IPN, either approach alone usually has limited treatment effects.

Patient concerns

We describe a case series of combined mini-invasive step-up approach for treating extensive IPN.

Diagnoses

Patients were diagnosed with SAP and had extensive IPN.

Interventions

Seven patients with SAP and extensive IPN were enrolled. All patients underwent a combined step-up approach comprising 4 s

SUBMITTER: Zhang B 

PROVIDER: S-EPMC10019169 | biostudies-literature | 2023 Mar

REPOSITORIES: biostudies-literature