Endoscopic versus minimally invasive surgical approach for infected necrotizing pancreatitis: a systematic review and meta-analysis of randomized controlled trials

Review Gastroenterology & Hepatology

Efficacy and Safety of Radiofrequency Ablation Plus Stent Versus Stent-alone Treatments for Malignant Biliary Strictures A Systematic Review and Meta-analysis

Hayat Khizar et al.

Summary: Radiofrequency ablation improves survival and stent patency time for patients with malignant biliary strictures (MBS) compared to stent-alone treatment. Adverse events can be limited with better techniques.

JOURNAL OF CLINICAL GASTROENTEROLOGY (2023)

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Review Emergency Medicine

The optimal timing and intervention to reduce mortality for necrotizing pancreatitis: a systematic review and network meta-analysis

Yang Yang et al.

Summary: This study evaluated the efficacy and safety of different treatment strategies for necrotizing pancreatitis through a systematic review and Bayesian network meta-analysis. Delayed surgery, delayed surgical step-up approach, and delayed endoscopic step-up approach showed better results in reducing mortality, while delayed surgical step-up approach and delayed endoscopic step-up approach were more effective in reducing major complications. Drainage alone should be avoided, and interventions should be postponed if possible.

WORLD JOURNAL OF EMERGENCY SURGERY (2023)

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Article Gastroenterology & Hepatology

Safety of endoscopic pancreatic necrosectomy compared with percutaneous and surgical necrosectomy: a nationwide inpatient study

Daryl Ramai et al.

Summary: This study compared the safety and outcomes of endoscopic, percutaneous, and surgical necrosectomy for pancreatic necrosis. The findings showed that endoscopic necrosectomy had the lowest mortality rate and fewer complications, shorter hospital stays, and lower costs compared to percutaneous and surgical approaches.

ENDOSCOPY INTERNATIONAL OPEN (2023)

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Review Medicine, General & Internal

Efficacy and safety of endoscopic drainage versus percutaneous drainage for pancreatic fluid collection; a systematic review and meta-analysis

Hayat Khizar et al.

Summary: This meta-analysis compared the outcomes of endoscopic drainage (ED) and percutaneous drainage (PD) for pancreatic fluid collections (PFC). The results showed that ED has higher clinical success, shorter hospital stay, and lower mortality rate and re-intervention rates compared to PD.

ANNALS OF MEDICINE (2023)

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Review Medicine, General & Internal

Safety and efficacy of lumen-apposing metal stents and double-pigtail plastic stents for endoscopic ultrasound-guided drainage of walled-off necrosis; a systematic review and meta-analysis

Hayat Khizar et al.

Summary: This study compared the efficacy of LAMS, BFMS, and DPS in the treatment of patients with WON. The results showed that LAMS had better clinical outcomes and fewer side effects when treating patients with WON.

ANNALS OF MEDICINE (2023)

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Review Medicine, General & Internal

Endoscopic transluminal drainage and necrosectomy for infected necrotizing pancreatitis: Progress and challenges

Yan Zeng et al.

Summary: INP is a severe condition in patients with acute pancreatitis and invasive interventions are recommended. Evidence suggests that interventional strategies for INP have evolved from traditional surgery to minimally invasive endoscopic procedures. However, there is no standardized protocol for endoscopic interventions. This article reviews published articles and guidelines to present the progress and challenges of endoscopic transluminal drainage and necrosectomy in INP.

WORLD JOURNAL OF CLINICAL CASES (2023)

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Review Gastroenterology & Hepatology

Surgical management of acute pancreatitis: Historical perspectives, challenges, and current management approaches

Nasser Alzerwi

Summary: Acute pancreatitis is a serious condition with high mortality rate. Surgical approaches are used to manage complications of AP, such as pseudocysts, pancreatic fistulas, and biliary tract obstruction, for patients who are unresponsive to conservative treatment or have complications.

WORLD JOURNAL OF GASTROINTESTINAL SURGERY (2023)

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Review Gastroenterology & Hepatology

Percutaneous endoscopic necrosectomy (PEN) for treatment of necrotizing pancreatitis: a systematic review and meta-analysis

Mihajlo Gjeorgjievski et al.

Summary: The study aimed to evaluate the efficacy and safety of percutaneous endoscopic necrosectomy (PEN) in necrotizing pancreatitis. Through the analysis of 16 observational studies, it was found that PEN is a novel method of endoscopic management of pancreatic necrosis, with high rates of clinical success and low rates of perioperative morbidity and mortality.

ENDOSCOPY INTERNATIONAL OPEN (2023)

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Review Cell Biology

Precision Medicine in Pancreatitis: The Future of Acute Pancreatitis Care

Andras Garami et al.

Summary: Acute pancreatitis is a significant burden with no specific therapy. A paradigm shift towards personalized treatment approaches and clinical trials should be considered. The development of precision medicine in acute pancreatitis requires the establishment of an expert committee to coordinate activities and optimize patient care.

FUNCTION (2023)

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Article Medicine, General & Internal

Clinical Outcomes of the Endoscopic Step-Up Approach with or without Radiology-Guided Percutaneous Drainage for Symptomatic Walled-Off Pancreatic Necrosis

Tanawat Pattarapuntakul et al.

Summary: This study compared the clinical and radiologic resolution of symptomatic walled-off pancreatic necrosis achieved with the endoscopic step-up approach with or without radiology-guided percutaneous drainage. Results showed that both the endoscopic step-up approach and combined modality drainage were effective in relieving symptoms, but the endoscopic approach alone had a higher clinical success rate, achieved earlier clinical and radiologic resolution, and resulted in a shorter hospital stay.

MEDICINA-LITHUANIA (2023)

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Article Medicine, Research & Experimental

Minimal-access video-assisted retroperitoneal and/or transperitoneal debridement (VARTD) in the management of infected walled-off pancreatic necrosis with deep extension: initial experience from a prospective single-arm study

Wanjie Wei et al.

Summary: This study assessed the effectiveness and safety of a minimal-access video-assisted retroperitoneal and/or transperitoneal debridement (VARTD) in managing infected walled-off pancreatic necrosis with deep extension (iWONde). The majority of participants (14/21, 67%) achieved the primary efficacy endpoint, and there was no need for repeated interventions. The primary safety endpoint occurred in six patients (29%), with one in-hospital death attributed to repeated intra-abdominal hemorrhage.

EUROPEAN JOURNAL OF MEDICAL RESEARCH (2023)

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Article Gastroenterology & Hepatology

Burden and Cost of Gastrointestinal, Liver, and Pancreatic Diseases in the United States: Update 2021

Anne F. Peery et al.

Summary: Gastrointestinal diseases in the United States result in significant healthcare utilization and expenditures, with millions of healthcare encounters and hundreds of thousands of deaths each year. To address this burden, focused clinical and public health efforts, along with increased research funding, are necessary.

GASTROENTEROLOGY (2022)

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Article Gastroenterology & Hepatology

Endoscopic Versus Surgical Step-Up Approach for Infected Necrotizing Pancreatitis (ExTENSION): Long-term Follow-up of a Randomized Trial

Anke M. Onnekink et al.

Summary: Based on long-term follow-up, the endoscopic step-up approach is not superior to the surgical step-up approach in reducing death or major complications in patients with infected necrotizing pancreatitis. However, patients assigned to the endoscopic approach have fewer pancreaticocutaneous fistulas and require fewer reinterventions after the initial 6-month follow-up.

GASTROENTEROLOGY (2022)

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Review Gastroenterology & Hepatology

Quality of life after surgical and endoscopic management of severe acute pancreatitis: A systematic review

Emmanouil Psaltis et al.

Summary: The research found that endoscopic surgery may have a better impact on the quality of life of patients with severe acute pancreatitis compared to traditional surgery, but more randomized trials are needed to further confirm this.

WORLD JOURNAL OF GASTROINTESTINAL ENDOSCOPY (2022)

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Review Gastroenterology & Hepatology

Controversies in EUS-guided treatment of walled-off necrosis

Michael Hocke et al.

Summary: This review provides an overview of various techniques for the treatment of post-acute complications of acute pancreatitis, with a focus on evaluating evidence to find the optimal approach. In the absence of evidence, the experienced authors offer their personal recommendations.

ENDOSCOPIC ULTRASOUND (2022)

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Article Emergency Medicine

One-step laparoscopic pancreatic necrosectomy verse surgical step-up approach for infected pancreatic necrosis: a case-control study

Sheng-bo Han et al.

Summary: This case-control study aimed to compare the safety and effectiveness of one-step laparoscopic pancreatic necrosectomy (LPN) and surgical step-up approach in treating infected pancreatic necrosis (IPN) patients. The results showed that one-step LPN was as safe and effective as the surgical step-up approach, with no significant difference in mortality, major complications, new-onset diabetes, or new-onset pancreatic exocrine insufficiency. However, one-step LPN was associated with a shorter hospital stay.

WORLD JOURNAL OF EMERGENCY MEDICINE (2022)

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Article Gastroenterology & Hepatology

Endoscopic transmural drainage tailored to quantity of necrotic debris versus laparoscopic transmural internal drainage for walled-off necrosis in acute pancreatitis: A randomized controlled trial

Suryalok Angadi et al.

Summary: This study compared the efficacy of laparoscopic and endoscopic drainage for WON, showing no significant difference in primary outcomes and overall success rate between the two groups. However, the endoscopic approach was associated with a shorter hospital stay.

PANCREATOLOGY (2021)

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Review Emergency Medicine

EUS-guided drainage using lumen apposing metal stent and percutaneous endoscopic necrosectomy as dual approach for the management of complex walled-off necrosis: a case report and a review of the literature

Cecilia Binda et al.

Summary: Dual approach with lumen apposing metal stent and percutaneous self-expandable metal stent is a compelling option for the treatment of symptomatic and complex walled-off pancreatic necrosis. Percutaneous endoscopic necrosectomy seems promising before emergency surgery, but should be reserved in referral centers with a multidisciplinary team.

WORLD JOURNAL OF EMERGENCY SURGERY (2021)

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Review Medicine, General & Internal

Endoscopic transmural drainage and necrosectomy in acute necrotizing pancreatitis: A review

Linlin Feng et al.

Summary: Acute necrotizing pancreatitis, occurring in 10%-20% of acute pancreatitis patients, is associated with high mortality. Treatment has shifted from open necrosectomy to minimally invasive techniques like endoscopic interventions. However, there is currently no unified standard for endoscopic treatment, requiring consideration of multiple factors.

JOURNAL OF TRANSLATIONAL INTERNAL MEDICINE (2021)

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Article Surgery

Endoscopic versus laparoscopic drainage of pseudocyst and walled-off necrosis following acute pancreatitis: a randomized trial

Pramod Kumar Garg et al.

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES (2020)

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Review Gastroenterology & Hepatology

Superiority of endoscopic interventions over minimally invasive surgery for infected necrotizing pancreatitis: meta-analysis of randomized trials

Ji Young Bang et al.

DIGESTIVE ENDOSCOPY (2020)

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Review Gastroenterology & Hepatology

American Gastroenterological Association Clinical Practice Update: Management of Pancreatic Necrosis

Todd H. Baron et al.

GASTROENTEROLOGY (2020)

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Review Surgery

Endoscopic versus surgical treatment for infected necrotizing pancreatitis: a systematic review and meta-analysis of randomized controlled trials

C. M. Haney et al.

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES (2020)

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Article Emergency Medicine

Open necrosectomy in acute pancreatitis-obsolete or still useful?

Henrik Leonard Husu et al.

WORLD JOURNAL OF EMERGENCY SURGERY (2020)

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Article Medicine, General & Internal

RoB 2: a revised tool for assessing risk of bias in randomised trials

Jonathan A. C. Sterne et al.

BMJ-BRITISH MEDICAL JOURNAL (2019)

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Article Gastroenterology & Hepatology

An Endoscopic Transluminal Approach, Compared With Minimally Invasive Surgery, Reduces Complications and Costs for Patients With Necrotizing Pancreatitis

Ji Young Bang et al.

GASTROENTEROLOGY (2019)

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Review Gastroenterology & Hepatology

Endoscopic management of pancreatic fluid collections

Haroon Shahid

TRANSLATIONAL GASTROENTEROLOGY AND HEPATOLOGY (2019)

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Article Surgery

Evolving treatment of necrotizing pancreatitis

Alexandra M. Roch et al.

AMERICAN JOURNAL OF SURGERY (2018)

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Article Medicine, General & Internal

Endoscopic or surgical step-up approach for infected necrotising pancreatitis: a multicentre randomised trial

Sandra van Brunschot et al.

LANCET (2018)

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Article Gastroenterology & Hepatology

Early (<4 Weeks) Versus Standard (≥ 4 Weeks) Endoscopically Centered Step-Up Interventions for Necrotizing Pancreatitis

Guru Trikudanathan et al.

AMERICAN JOURNAL OF GASTROENTEROLOGY (2018)

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Article Surgery

Comparison between minimally invasive and open surgical treatment in necrotizing pancreatitis

Marek Wronski et al.

JOURNAL OF SURGICAL RESEARCH (2017)

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Review Gastroenterology & Hepatology

Necrotizing Pancreatitis: Current Management and Therapies

Christine Boumitri et al.

CLINICAL ENDOSCOPY (2017)

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Article Surgery

Outcomes From Minimal Access Retroperitoneal and Open Pancreatic Necrosectomy in 394 Patients With Necrotizing Pancreatitis

Ilias P. Gomatos et al.

ANNALS OF SURGERY (2016)

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Review Surgery

Clinical practice guideline: management of acute pancreatitis

Joshua A. Greenberg et al.

CANADIAN JOURNAL OF SURGERY (2016)

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Article Health Care Sciences & Services

Extending the PRISMA statement to equity-focused systematic reviews (PRISMA-E 2012): explanation and elaboration

Vivian Welch et al.

JOURNAL OF CLINICAL EPIDEMIOLOGY (2016)

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Review Gastroenterology & Hepatology

Asian consensus statements on endoscopic management of walled-off necrosis Part 1: Epidemiology, diagnosis, and treatment

Hiroyuki Isayama et al.

JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY (2016)

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Editorial Material Medicine, General & Internal

Endoscopic Transgastric Necrosectomy for Infected Necrotizing Pancreatitis

O. Joe Hines et al.

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2012)

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Article Medicine, General & Internal

Endoscopic Transgastric vs Surgical Necrosectomy for Infected Necrotizing Pancreatitis A Randomized Trial

Olaf J. Bakker et al.

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION (2012)

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Article Gastroenterology & Hepatology

A Conservative and Minimally Invasive Approach to Necrotizing Pancreatitis Improves Outcome

Hjalmar C. van Santvoort et al.

GASTROENTEROLOGY (2011)

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Review Surgery

Management of Severe Acute Pancreatitis A Surgical Odyssey

Edward L. Bradley et al.

ANNALS OF SURGERY (2010)

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Article Medicine, General & Internal

A Step-up Approach, or Open Necrosectomy for Necrotizing Pancreatitis

NEW ENGLAND JOURNAL OF MEDICINE (2010)

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Article Medicine, General & Internal

A Step-up Approach or Open Necrosectomy for Necrotizing Pancreatitis

Hjalmar C. van Santvoort et al.

NEW ENGLAND JOURNAL OF MEDICINE (2010)

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Review Medicine, General & Internal

The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration

Alessandro Liberati et al.

BMJ-BRITISH MEDICAL JOURNAL (2009)

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Review Surgery

Evidence-based treatment of acute pancreatitis -: A look at established paradigms

S Heinrich et al.

ANNALS OF SURGERY (2006)

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Endoscopic versus minimally invasive surgical approach for infected necrotizing pancreatitis: a systematic review and meta-analysis of randomized controlled trials

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