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Current Treatment Options in Gastroenterology

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01-12-2018 | Invited Commentary

Timing of Endoscopic Necrosectomy Following Transmural Stent Placement for Pancreatic Necrosis

Authors: Jordan Orr, MD, Patrick Yachimski, MD, MPH, FASGE, AGAF

Published in: Current Treatment Options in Gastroenterology | Issue 4/2018

Abstract

Purpose of the review

Pancreatic walled-off necrosis (WON) may require adjunctive direct endoscopic necrosectomy (DEN) following transmural stent placement. DEN is performed immediately or delayed in relation to index endoscopy. There is currently no consensus on the optimal timing of DEN. We review the most recent literature addressing each practice.

Recent findings

Some expert opinion prefer delayed DEN; however, recent data reveal immediate DEN may reduce the number of endoscopic sessions required for successful clinical resolution of WON.

Summary

Future studies are needed to determine the optimal timing for DEN following transmural stent placement for the management of WON.

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Title: Timing of Endoscopic Necrosectomy Following Transmural Stent Placement for Pancreatic Necrosis
Authors: Jordan Orr, MD
Patrick Yachimski, MD, MPH, FASGE, AGAF
Publication date: 01-12-2018
Publisher: Springer US
Published in: Current Treatment Options in Gastroenterology / Issue 4/2018
Print ISSN: 1092-8472
Electronic ISSN: 1534-309X
DOI: https://doi.org/10.1007/s11938-018-0211-1

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