Early versus delayed interventions for necrotizing pancreatitis: A systematic review and meta-analysis.

ABSTRACT:

Objectives

Interventions for necrotizing pancreatitis are generally postponed until 4 weeks after the onset of acute pancreatitis, but there remains controversy about whether we should always wait >4 weeks or can intervene early when necessary. This meta-analysis was conducted to evaluate treatment outcomes of necrotizing pancreatitis according to the cut-off defined in the revised Atlanta classification (≤4 vs. >4 weeks).

Methods

Using PubMed, Web of Science, and the Cochrane database, we identified clinical studies published until March 2022 with data comparing outcomes of early and delayed interventions of necrotizing pancreatitis. We pooled data on adverse events, mortality, technical and clinical success rates, and needs for necrosectomy and open surgery, using the rand

SUBMITTER: Nakai Y 

PROVIDER: S-EPMC9549879 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature