title: Embryonic natural orifice transluminal endoscopic surgery in the treatment of severe acute pancreatitis complicated by abdominal compartment syndrome.
abstract: BACKGROUND
  The study aimed to estimate the value of embryonal natural orifice transluminal endoscopic surgery (ENOTES) in treating severe acute pancreatitis (SAP) complicated with abdominal compartment syndrome (ACS).
  
  
  METHODS
  The patients, who were randomized into an ENOTES group and an operative group, underwent ENOTES and laparotomy, respectively. The results and complications of the two groups were compared.
  
  
  RESULTS
  Enterocinesia was observed earlier in the ENOTES group than in the operative group. Acute Physiology and Chronic Health Evaluation II (APACHE II) score of patients in the ENOTES group was lower than that of the operative group on the 1st, 3rd and 5th post-operative day (P<0.05). The cure rate was 96.87% in the ENOTES group, which was statistically different from 78.12% in the operative group (P<0.05). There were significant differences in complications and mortality between the two groups (P<0.01).
  
  
  CONCLUSIONS
  Compared with surgical decompression, ENOTES associated with flexible endoscope therapy is an effective and minimal invasive procedure with less complications.
authors: Department of Gastroenterology, Affiliated Donghua Hospital of Sun Yat-sen University, Dongguan 523110, Guangdong Province, China.
authors: Hui-Ming
authors: HM
authors: Zhu
authors: Department of Gastroenterology, Affiliated Donghua Hospital of Sun Yat-sen University, Dongguan 523110, Guangdong Province, China.
authors: Shao-Qing
authors: SQ
authors: Guo
authors: Department of Gastroenterology, Affiliated Donghua Hospital of Sun Yat-sen University, Dongguan 523110, Guangdong Province, China.
authors: Xiu-Min
authors: XM
authors: Liao
authors: Department of Gastroenterology, Affiliated Donghua Hospital of Sun Yat-sen University, Dongguan 523110, Guangdong Province, China.
authors: Li
authors: L
authors: Zhang
authors: Department of Gastroenterology, Affiliated Donghua Hospital of Sun Yat-sen University, Dongguan 523110, Guangdong Province, China.
authors: Li
authors: L
authors: Cai
keywords: Abdominal compartment syndrome; Embryonal natural orifice transluminal endoscopic surgery; Flexible endoscope; Peritoneal dialysis; Peritoneal lavage; Severe acute pancreatitis