title: Transgastric Pancreatic Necrosectomy: How I Do It.
abstract: Necrotizing pancreatitis is a serious medical problem that often requires intervention to debride necrotic pancreatic and peripancreatic tissue. Recently, minimally invasive approaches have been applied to pancreatic necrosectomy. The purpose of this report is to review the history of transgastric pancreatic debridement, identify appropriate patient selection criteria, and highlight technical "pearls." We present this subject matter in the context of our own clinical experience, with a primary focus on a "How I Do It" type of technical description.
authors.affiliation: Department of Surgery, Indiana University School of Medicine, 545 Barnhill Drive, EH 519, Indianapolis, IN, 46202, USA. nzyromsk@iupui.edu.
authors.forename: Nicholas J
authors.initials: NJ
authors.lastname: Zyromski
authors.affiliation: Department of Surgery, Indiana University School of Medicine, 545 Barnhill Drive, EH 519, Indianapolis, IN, 46202, USA.
authors.forename: Attila
authors.initials: A
authors.lastname: Nakeeb
authors.affiliation: Department of Surgery, Indiana University School of Medicine, 545 Barnhill Drive, EH 519, Indianapolis, IN, 46202, USA.
authors.forename: Michael G
authors.initials: MG
authors.lastname: House
authors.affiliation: Department of Surgery, Indiana University School of Medicine, 545 Barnhill Drive, EH 519, Indianapolis, IN, 46202, USA.
authors.forename: Andrea L
authors.initials: AL
authors.lastname: Jester
mesh_terms: D003646:Debridement / Q000379:methods*; D005774:Gastrostomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D019283:Pancreatitis, Acute Necrotizing / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D018579:Patient Selection
keywords: Debridement; Necrosectomy; Necrosis; Pancreatitis; Transgastric