Top

Journal of Hepato-Biliary-Pancreatic Sciences

Published in:

01-09-2009 | Topics

Endotherapy for pancreatic necrosis and abscess: endoscopic drainage and necrosectomy

Authors: Jayant P. Talreja, Michel Kahaleh

Published in: Journal of Hepato-Biliary-Pancreatic Sciences | Issue 5/2009

Abstract

Pancreatic necrosis and abscess are among the most severe complications of acute pancreatitis. Endoscopic drainage of pancreatic fluid collections has been increasingly performed in many tertiary care centers. The type of fluid collection that is being intervened upon determines the outcome. The development of endoscopic ultrasonography (EUS) has expanded the safety and efficacy of this modality by allowing one to access and drain more challenging fluid collections. The technique and review of current literature regarding endoscopic therapy of pancreatic necrosis and abscess will be discussed.

Baron TH, Thaggard WG, Morgan DE, Stanley RJ. Endoscopic therapy for organized pancreatic necrosis. Gastroenterology. 1996;111:755–64.PubMedCrossRef

Baillie J. Pancreatic pseudocysts (part I). Gastrointest Endosc. 2004;59:873–9.PubMedCrossRef

Yeo CL, Cameron JL, Sohn TA, Lillemoe KD, Pitt HA, Talamini MA, et al. Six hundred fifty consecutive pancreaticoduodenectomies in the 1990s: pathology, complications, and outcomes. Ann Surg. 1997;226:248–60.PubMedCrossRef

Arvanitakis M, Delhaye M, Chamlou R, Matos C, Closset J, Medhi A, et al. Endoscopic therapy for main pancreatic duct rupture after silastic-ring vertical gastroplasty. Gastrointest Endosc. 2005;62:143–51.PubMedCrossRef

Kloppel G. Pseudocysts and other non-neoplastic cysts of the pancreas. Semin Diagn Pathol. 2000;17:7–15.PubMed

Bradley ELIII. A clinically based classification system for acute pancreatitis. In: Summary of the international symposium on acute pancreatitis, Atlanta, GA, September 11 through 13, 1992. Arch Surg. 1993;128:586–90.

Baron TH, Harewood GC, Morgan DE, Yates MR. Outcome differences after endoscopic drainage of pancreatic necrosis, acute pancreatic pseudocysts, and chronic pancreatic pseudocysts. Gastrointest Endosc. 2002;56:7–17.PubMedCrossRef

Baron TH, Morgan DE. The diagnosis and management of fluid collections associated with pancreatitis. Am J Med. 1997;102:555–63.PubMedCrossRef

Yeo CJ, Bastidas JA, Lynch-Nyhan A, Fishman EK, Sinner MJ, Cameron JL. The natural history of pancreatic pseudocysts documented by computed tomography. Surg Gyn Obstet. 1990;170:411–7.

10.

Bradley EL, Clements JL Jr, Gonzalez AC. The natural history of pancreatic pseudocysts: a unified concept of management. Am J Surg. 1979;137:135–41.PubMedCrossRef

11.

Gouyon B, Levy P, Ruszniewski P, Zins M, Hammel P, Vilgrain V, et al. Predictive factors in the outcome of pseudocysts complicating alcoholic chronic pancreatitis. Gut. 1997;41:821–5.PubMedCrossRef

12.

Baron T. Endoscopic drainage of pancreatic fluid collections and pancreatic necrosis. Tech Gastrointest Endosc. 2004;6:91–9.CrossRef

13.

Seewald S, Groth S, Omar S, Imazu H, Seitz U, de Weerth A, et al. Aggressive endoscopic therapy for pancreatic necrosis and pancreatic abscess: a new safe and effective treatment algorithm (videos). Gastrointest Endosc. 2005;62:92–100.PubMedCrossRef

14.

Morgan DE, Baron TH, Smith JK, Robbin ML, Kenney PJ. Pancreatic fluid collections prior to intervention: evaluation with MR imaging compared with CT and US. Radiology. 1997;203:773–8.PubMed

15.

Balthazar EJ, Freeny PC, van Sonnenberg E. Imaging and intervention in acute pancreatitis. Radiology. 1994;193:297–306.PubMed

16.

Uhl W, Warsaw A, Imrie C, Bassi C, McKay CJ, Lankisch PG, et al. IAP guidelines for the surgical management of acute pancreatitis. Pancreatology. 2002;2:565–73.PubMedCrossRef

17.

Fernandez-del Castillo C, Rattner DW, Makary MA, Mostafavi A, McGrath D, Warshaw AL. Debridement and closed packing for the treatment of necrotizing pancreatitis. Ann Surg. 1998;228:676–84.PubMedCrossRef

18.

Hartwig W, Werner J, Muller CA, Uhl W, Buchler MW. Surgical management of severe pancreatitis including sterile necrosis. J Hepatobiliary Pancreat Surg. 2002;9:429–35.PubMedCrossRef

19.

Mithofer K, Mueller PR, Warshaw AL. Interventional and surgical treatment of pancreatic abscess. World J Surg. 1997;21:162–8.PubMedCrossRef

20.

van Sonnenberg E, Wittich GR, Chon KS, D’Agostino HB, Casola G, Easter D, et al. Percutaneous radiologic drainage of pancreatic abscesses. Am J Roentgenol. 1997;168:979–84.

21.

van Sonnenberg E, Wittich GR, Goodacre BW, Casola G, D’Agostino HB. Percutaneous abscess drainage: update. World J Surg. 2001;25:362–9.CrossRef

22.

Freeny PC, Hauptmann E, Althaus SJ, Traverso LW, Sinanan M. Percutaneous CT-guided catheter drainage of infected acute necrotizing pancreatitis: techniques and results. Am J Roentgenol. 1998;170:969–75.

23.

Memis A, Parildar M. Interventional radiological treatment in complications of pancreatitis. Eur J Radiol. 2002;43:219–28.PubMedCrossRef

24.

Hookey LC, Debroux S, Delhaye M, Arvanitakis M, Le Moine O, Deviere J. Endoscopic drainage of pancreatic fluid collections in 116 patients: a comparison of etiologies, drainage techniques, and outcomes. Gastrointest Endosc. 2006;63:635–43.PubMedCrossRef

25.

Seifert H, Dietrich C, Schmitt T, Caspary W, Wehrmann T. Endoscopic ultrasound-guided one-step transmural drainage of cystic abdominal lesions with a large-channel echo endoscope. Endoscopy. 2000;32:255–9.PubMedCrossRef

26.

Venu RP, Brown RD, Marrero JA, Pastika BJ, Frakes JT. Endoscopic transpapillary drainage of pancreatic abscess: technique and results. Gastrointest Endosc. 2000;51:391–5.PubMedCrossRef

27.

Park JJ, Kim SS, Koo YS, Choi DJ, Park HC, Kim JH, et al. Definitive treatment of pancreatic abscess by endoscopic transmural drainage. Gastrointest Endosc. 2002;55:256–62.PubMedCrossRef

28.

Voermans RP, Eisendrath P, Bruno MJ, Le Moine O, Deviere J, Fockens P, et al. Initial evaluation of a novel prototype forward-viewing US endoscope in transmural drainage of pancreatic pseudocysts (with videos). Gastrointest Endosc. 2007;66:1013–7.PubMedCrossRef

29.

Trevino JM, Varadarajulu S. Initial experience with prototype forward-viewing echoendoscope for therapeutic interventions other than pancreatic pseudocyst drainage (with videos). Gastrointest Endosc. 2009;69:361–5.PubMedCrossRef

30.

Seifert H, Faust D, Schmitt T, Dietrich C, Caspary W, Wehrmann T. Transmural drainage of cystic peripancreatic lesions with a new large-channel echo endoscope. Endoscopy. 2001;33:1022–6.PubMedCrossRef

31.

Baron TH. Endoscopic drainage of pancreatic pseudocysts. J Gastrointest Surg. 2008;12:369–72.PubMedCrossRef

32.

Jacobson BC, Baron TH, Adler DG, Davila RE, Egan J, Hirota WK, et al. ASGE guideline: the role of endoscopy in the diagnosis and the management of cystic lesions and inflammatory fluid collections of the pancreas. Gastrointest Endosc. 2005;61:363–70.PubMedCrossRef

33.

Varadarajulu S, Wilcox CM, Tamhane A, Eloubeidi MA, Blakey J, Canon CL. Role of EUS in drainage of peripancreatic fluid collections not amenable for endoscopic transmural drainage. Gastrointest Endosc. 2007;66(6):1107–19.PubMedCrossRef

34.

Kahaleh M, Shami VM, Conway MR, Tokar J, Rockoff T, De La Rue SA, et al. Comparison of EUS and conventional endoscopic drainage of pancreatic pseudocyst. Endoscopy. 2006;38:355–9.PubMedCrossRef

35.

Giovannini M. EUS-guided pancreatic pseudocyst drainage. Tech Gastrointest Endosc. 2007;9(1):32–8.CrossRef

36.

Baron TH. Endoscopic drainage of pancreatic pseudocysts, abscesses and organized (walled-off) necrosis. In: ERCP Baron TH, Kozarek R, Carr-Locke DL, (eds) Saunders Elsevier, Philadelphia, 2008; Chapter 45.

37.

Kozarek R. Endoscopic management of pancreatic necrosis: not for the uncommitted. Gastrointest Endosc. 2005;62:101–4.PubMedCrossRef

38.

Seifert H, Wehrmann Schmitt T, Zeuzem S, Caspary WF. Retroperitoneal endoscopic debridement for infected peripancreatic necrosis. Lancet. 2000;356:653–5.PubMedCrossRef

39.

Giovannini M, Pesenti C, Rolland AL, et al. Endoscopic ultrasound-guided drainage of pancreatic pseudocysts or pancreatic abscesses using a therapeutic echo endoscope. Endoscopy. 2001;33:473–7.PubMedCrossRef

40.

Papachristou GI, Takahashi N, Chahal P, Sarr MG, Baron TH. Peroral endoscopic drainage/debridement of walled-off pancreatic necrosis. Ann Surg. 2007;245:943–51.PubMedCrossRef

41.

Lopes CV, Pesenti C, Bories E, Caillol F, Giovannini M. Endoscopic-ultrasound-guided endoscopic transmural drainage of pancreatic pseudoscysts and abscesses. Scan J Gastroenterol. 2007;42:524–9.CrossRef

42.

Seewald S, Thonke F, Ang TL, Omar S, Seitz U, Groth S, et al. One-step, simultaneous double-wire technique facilitates pancreatic pseudocyst and abscess drainage (with videos). Gastrointest Endosc. 2006;64:805–8.PubMedCrossRef

43.

Ang TL, Teo EK, Fock KM. EUS-guided drainage of infected pancreatic pseudocyst: use of a 10F Soehendra dilator to facilitate a double-wire technique for initial transgastric access (with videos). Gastrointest Endosc. 2008;68:192–4.PubMedCrossRef

44.

Antillon MR, Bechtold ML, Bartalos CR, Marshall JB. Transgastric endoscopic necrosectomy with temporary metallic esophageal stent placement for the treatment of infected pancreatic necrosis (with video). Gastrointest Endosc. 2009;69:178–80.PubMedCrossRef

Title: Endotherapy for pancreatic necrosis and abscess: endoscopic drainage and necrosectomy
Authors: Jayant P. Talreja
Michel Kahaleh
Publication date: 01-09-2009
Publisher: Springer Japan
Published in: Journal of Hepato-Biliary-Pancreatic Sciences / Issue 5/2009
Print ISSN: 1868-6974
Electronic ISSN: 1868-6982
DOI: https://doi.org/10.1007/s00534-009-0130-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Endotherapy for pancreatic necrosis and abscess: endoscopic drainage and necrosectomy

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 5/2009

Increased K-ras mutation and expression of S100A4 and MUC2 protein in the malignant intraductal papillary mucinous tumor of the pancreas

Gastrointestinal bleeding in a pregnant woman: mucinous cystic neoplasm of pancreas mimicking gastrointestinal stromal tumor of stomach

The impact of body mass index on laparoscopic cholecystectomy in Taiwan: an oriental experience

ERCP using double-balloon endoscopes in patients with Roux-en-Y anastomosis

Drug-eluting stent in malignant biliary obstruction

Portal vein tumor thrombus from colorectal cancer with no definite metastatic nodules in liver parenchyma