title: Endoscopic pancreatic necrosectomy.
abstract: Traditionally, patients with symptomatic sterile pancreatic necrosis or infected necrosis have been managed by open surgical debridement and removal of necrotic tissue. Within the last decade, however, reports of endoscopic pancreatic necrosectomy, an alternative minimally invasive approach, have demonstrated high success rates and low mortality rates. This report describes the indications, technique, and study outcome data of the procedure. While our experience with this technique has recently increased, better selection criteria are needed to identify patients who are most suitable for endoscopic therapy.
authors.affiliation: Division of Gastroenterology/Hepatology, Indiana University Medical Center, 550 N. University Blvd., Suite 4100, Indianapolis, IN 46202, USA. efogel@iupui.edu
authors.forename: Evan L
authors.initials: EL
authors.lastname: Fogel
mesh_terms: D003646:Debridement / Q000379:methods*; D016145:Endoscopy, Digestive System / Q000379:methods* / Q000592:standards; D019160:Endosonography; D006801:Humans; D019283:Pancreatitis, Acute Necrotizing / Q000000981:diagnostic imaging / Q000601:surgery*; D017410:Practice Guidelines as Topic; D013396:Suction / Q000379:methods / Q000592:standards