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Fedorov A.V.

Evdokimov Moscow State University of Medicine and Dentistry

Ektov V.N.

Burdenko Voronezh State Medical University

Khodorkovsky M.A.

Burdenko Voronezh State Medical University

Endoscopic transluminal interventions in the treatment of acute necrotizing pancreatitis

Authors:

Fedorov A.V., Ektov V.N., Khodorkovsky M.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2021;(9): 85‑92

DOI: 10.17116/hirurgia202109185

Read: 2310 times

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Table of contents

ENDOSCOPIC TRANSLUMINAL INTERVENTIONS IN THE TREATMENT OF ACUTE NECROTIZING PANCREATITIS
ENDOSCOPIC TRANSLUMINAL INTERVENTIONS IN THE TREATMENT OF ACUTE NECROTIZING PANCREATITIS

To cite this article:

Fedorov AV, Ektov VN, Khodorkovsky MA. Endoscopic transluminal interventions in the treatment of acute necrotizing pancreatitis. Pirogov Russian Journal of Surgery. 2021;(9):85‑92. (In Russ.)
https://doi.org/10.17116/hirurgia202109185

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

The review is devoted to endoscopic transluminal interventions in the treatment of acute necrotizing pancreatitis. Terminology, indications and options for transluminal drainage procedures and endoscopic sequestrectomy are presented in detail. The authors analyzed the results of numerous studies devoted to effectiveness of endoscopic interventions and possible combination of treatment options. Modern international clinical guidelines indicating the feasibility of endoscopic treatment of acute necrotizing pancreatitis in multi-field specialized centers are considered.

Keywords:

acute necrotizing pancreatitis
endoscopic sequestrectomy

Authors:

Fedorov A.V.

Evdokimov Moscow State University of Medicine and Dentistry

Ektov V.N.

Burdenko Voronezh State Medical University

Khodorkovsky M.A.

Burdenko Voronezh State Medical University

Received:

10.02.2021

Accepted:

09.03.2021

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References:

  1. Working Group IAP/APA Acute Pancreatitis Guidelines. IAP/APA evidence based guidelines for the management of acute pancreatitis. Pancreatology. 2013;13(4 suppl 2):1-15.  https://doi.org/10.1016/j.pan.2013.07.063
  2. van Santvoort HC, Bakker OJ, Bollen TL, Besselink MG, Ali UA, Am S, et al. A conservative and minimally invasive approach to necrotizing pancreatitis improves outcome. Gastroenterology. 2011;141:1254-1263.
  3. Freeman ML, Werner J, van Santvoort HC, Baron TH, Besselink MG, Windsor JA, Horvath KD, van Sonnenberg E, Bollen TL, Vege SS. International Multidisciplinary Panel of Speakers and Moderators. Interventions for necrotizing pancreatitis: Summary of a multidisciplinary consensus conference. Pancreas. 2012;41:1176-1194.
  4. da Costa DW, Boerma D, van Santvoort HC, Horvath KD, Werner J, Carter CR., Bollen TL, Gooszen HG, Besselink MG, Bakker OJ. Staged multidisciplinary step-up management for necrotizing pancreatitis. Br J Surg. 2014;101:65-79. 
  5. Arvanitakis M, Dumonceau J-M, Albert J, et al. Endoscopic management of acute necrotizing pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) evidence-based multidisciplinary guidelines. Endoscopy. 2018;50:524-546.  https://doi.org/10.1055/a-0588-5365
  6. Tenner S, Baillie J, DeWitt J, Vege SS. American College of Gastroenterology. American College of Gastroenterology guideline: management of acute pancreatitis. Am J Gastroenterol. 2013;108:1400-1415; 1416. https://doi.org/10.1038/ajg.2013.218
  7. van Santvoort HC, Besselink MG, Bakker OJ, Hofker HS, Boermeester MA, Dejong CH et al. A step-upapproach or open necrosectomy for necrotizing pancreatitis. The New England journal of medicine. 2010;362(16):1491-1502. https://doi.org/10.1056/NEJMoa0908821
  8. Hollemans RA, Bakker OJ, Boermeester MA, et al. Superiority of step-up approach vs open necrosectomy in long-term follow-up of patients with necrotizing pancreatitis. Gastroenterology. 2019;156:1016-1026.
  9. Baron TH, Thaggard WG, Morgan DE, et al. Endoscopic therapy for organized pancreatic necrosis. Gastroenterology. 1996;111:755-764. 
  10. Vilmann A, Menachery J, Tang S, Srinivasan I, Vilmann P. EUS-guided management of pancreatic fluid collections. World J Gastroenterol. 2015;21(41):11842-11853. https://doi.org/10.3748/wjg.v21.i41.11842
  11. Park DH, Lee SS, Moon SH, Choi SY, Jung SW, Seo DW, et al. Endoscopic ultrasound-guided versus conventional transmural drainage for pancreatic pseudocysts: a prospective randomized trial. Endoscopy. 2009;41(10):842-848.  https://doi.org/10.1055/s-0029-1215133
  12. Baron TH, Kozarek RA. Endotherapy for organized pancreatic necrosis: perspectives after 20 years. Clin Gastroenterol Hepatol. 2012;10:1202-1207.
  13. Varadarajulu S, Tamhane A, Blakely J. Graded dilation technique for EUS-guided drainage of peripancreatic fluid collections: an assessment of outcomes and complications and technical proficiency (with video). Gastrointest Endosc. 2008;68:656-666. 
  14. Seewald S, Ang TL, Richter H, Teng KY, Zhong Y, Groth S, Omar S, Soehendra N. Long-term results after endoscopic drainage and necrosectomy of symptomatic pancreatic fluid collections. Dig Endosc. 2012;24:36-41. 
  15. Seewald S, Groth S, Omar S, et al. Aggressive endoscopic therapy for pancreatic necrosis and pancreatic abscess: a new safe and effective treatment algorithm (videos). Gastrointest Endosc. 2005;62:92-100. 
  16. Varadarajulu S, Phadnis MA, Christein JD, Wilcox CM. Multiple transluminal gateway technique for EUS-guided drainage of symptomatic walled-off pancreatic necrosis. Gastrointest Endosc. 2011;74(1):74-80. Epub 2011/05/27.  https://doi.org/10.1016/j.gie.2011.03.1122
  17. Mukai S, Itoi T, Sofuni A, Itokawa F, Kurihara T, Tsuchiya T, et al. Novel single transluminal gateway transcystic multiple drainages after EUS-guided drainage for complicated multilocular walled-off necrosis (with videos). Gastrointest Endosc. 2014;79:531-535. 
  18. Mukai S, Itoi T, Sofuni A, et al. Expanding endoscopic interventions for pancreatic pseudocyst and walled-off necrosis. J Gastroenterol. 2015;50:211-220. 
  19. Ross AS, Irani S, Gan SI, et al. Dual-modality drainage of infected and symptomatic walled-off pancreatic necrosis: Long-term clinical outcomes. Gastrointest Endosc. 2014;79:929-935. 
  20. Jagielski M, Smoczyński M, Adrych K. The role of endoscopic treatment of pancreatic duct disruptionin patients with walled-off pancreatic necrosis. Surg Endosc. 2018;32:4939-4952. https://doi.org/10.3390/jcm9010117
  21. Seifert H, Biermer M, Schmitt W, Jurgensen C, Will U, Gerlach R, et al. Transluminal endoscopic necrosectomy after acute pancreatitis: a multicentre study with long-term follow-up (the GEPARD Study). Gut. 2009;58(9):1260-1266. https://doi.org/10.1136/gut.2008.163733
  22. Saul A, Ramirez Luna MA, Chan C, Uscanga L, Valdovinos Andraca F, Hernandez Calleros J, et al. EUS-guided drainage of pancreatic pseudocysts offers similar success and complications compared to surgical treatment but with a lower cost. Surgicalendoscopy. 2016;30(4):1459-1465. https://doi.org/10.1007/s00464-015-4351-2
  23. Van Brunschot S, Fockens P, Bakker OJ, et al. Endoscopic transluminal necrosectomy in necrotizing pancreatitis: a systematic review. Surg Endosc. 2014;28:1425-1438.
  24. Siddiqui AA, Kowalski TE, Loren DE, Khalid A, Soomro A, Mazhar SM, et al. Fully covered self-expanding metal stents versus lumen-apposing fully covered self-expanding metal stent versus plastic stents for endoscopic drainage of pancreatic walled-off necrosis: clinical outcomes and success. Gastrointest Endosc. 2017;85(4):758-765.  https://doi.org/10.1016/j.gie.2016.08.014
  25. Abu Dayyeh BK, Mukewar S, Majumder S, et al. Large caliber metal stents versus plastic stents for the management of pancreatic walled-off necrosis. Gastrointest Endosc. 2018;87:141-149. 
  26. Lee HS, Chung MJ. Past, Present, and Future of Gastrointestinal Stents: New Endoscopic Ultrasonography-Guided Metal Stents and Future Developments. Clinical endoscopy. 2016;49(2):131-138.  https://doi.org/10.5946/ce.2016.044
  27. Shah RJ, Shah JN, Waxman I, Kowalski TE, Sanchez-Yague A, Nieto J, et al. Safety and efficacy of endoscopic ultrasound-guided drainage of pancreatic fluid collections with lumen-apposing covered self-expanding metal stents. Clin Gastroenterol Hepatol. 2015;13(4):747-752.  https://doi.org/10.1016/j.cgh.2014.09.047
  28. Sharaiha RZ, Tyberg A, Khashab MA, et al. Endoscopic therapy with lumen-apposing metal stents is safe and effective for patients with pancreatic walled-off necrosis. Clin Gastroenterol Hepatol. 2016;14:1797-1803.
  29. Cho IR, Chung MJ, JoJH, Lee HS, Park JY, Bang S, et al. A novel lumen-apposing metal stent with an anti-reflux valve for endoscopic ultrasound-guided drainage of pseudocysts and walled-off necrosis: A pilot study. PLoSONE. 2019;14(9):e0221812. https://doi.org/10.1371/journal.pone.0221812
  30. Baron T, DiMaio Ch,Wang A, Morgan K. American Gastroenterological Association Clinical Practice Update: Management of Pancreatic Necrosis. Gastroenterology. 2020;158:67-75.  https://doi.org/10.1053/j.gastro.2019.07.064
  31. Bapaye A, Dubale NA, Sheth KA, Bapaye J, Ramesh J, Gadhikar H, et al. Endoscopic ultrasonography guided transmural drainage of walled-off pancreatic necrosis: Comparison between a specially designed fully covered bi-flanged metal stent and multiple plastic stents. Dig Endoscopy. 2017;29(1):104-110.  https://doi.org/10.1111/den.12704
  32. Mukai S, Itoi T, Baron TH, Sofuni A, Itokawa F, Kurihara T, et al. Endoscopic ultrasound-guided placement of plastic vs. biflanged metal stents for therapy of walled-off necrosis: a retrospective single-centerseries. Endoscopy. 2015;47(1):47-55. Epub 2014/09/30.  https://doi.org/10.1055/s-0034-1377966
  33. Bang JY, Navaneethan U, Hasan MK, et al. Non-superiority of lumen-apposing metal stents over plastic stents for drainage of walled-off necrosis in a randomised trial. Gut. 2019;68:1200-1209.
  34. Bang JY, Hawes R, Bartolucci A, et al. Efficacy of metal and plastic stents for transmural drainage of pancreatic fluid collections: a systematic review. Dig Endosc. 2015;27:486-498.  https://doi.org/10.1111/den.12418
  35. Mukai S, Itoi T, Baron TH, Sofuni A, Itokawa F, Kurihara T, et al. Endoscopic ultrasound-guided placement of plastic vs. biflanged metal stents for therapy of walled-off necrosis: a retrospective single-center series. Endoscopy. 2015;47(1):47-55. Epub 2014/09/30.  https://doi.org/10.1055/s-0034-1377966
  36. Bang JY, Hasan MK, Navaneethan U, et al. Lumen-apposing metal stents for drainage of pancreatic fluid collections: when and for whom? Dig Endosc. 2017;29:83-90. 
  37. Rana S, Sharma R, Dhalaria L, Gupta R. Efficacy and safety of plastic versus lumen-apposing metal stents for transmural drainage of walled-off necrosis: a retrospective single-center study. Annals of Gastroenterology. 2020;33:426-432. 
  38. Bang JY, Hasan M, Navaneethan U, et al. Lumen-apposing metal stents (LAMS) for pancreatic fluid collection (PFC) drainage: may not be business as usual. Gut. 2017;66:2054-2056.
  39. Bang J, Hawes R, Varadarajulu S. Lumen-apposing metal stent placement for drainageof pancreatic fluid collections: predictors of adverse events. Gut. 2020;69:1379-1381. https://doi.org/10.1136/gutjnl-2019-320539
  40. Xu M, Andalib I, Novikov A, et al. Endoscopic Therapy for Pancreatic Fluid Collections: A Definitive Management Using a Dedicated Algorithm. Clin Endosc. 2020;53:355-360.  https://doi.org/10.5946/ce.2019.113
  41. Rana S, Bashin D, Rao C, et al. Consequences of long term indwelling transmural stents in patients with walled off pancreatic necrosis & disconnected pancreatic duct syndrome. Pancreatology. 2013;13:486-490. 
  42. Trevino JM, Tevino JM, Tamhane A, et al. Successful stenting in ductal disruption favorably impacts treatment outcomes in patients undergoing transmural drainage of peripancreatic fluid collections. J Gastroenterol Hepatol. 2010;25:526-531. 
  43. van Brunschot S. Endoscopic or surgical step-up approach for necrotizing pancreatitis, a multi-center randomized controlled trial. United European Gastroenterol J. 2016;4:A2. 
  44. Papachristou GI, Takahashi N, Chahal P, et al. Peroral endoscopic drainage/debridement of walled-off pancreatic necrosis. Ann Surg. 2007;245:943-951. 
  45. Bang JY, Wilcox CM, Trevino J, et al. Factors impacting treatment outcomes in the endoscopic management of walled-off pancreatic necrosis. J Gastroenterol Hepatol. 2013;28:1725-1732.
  46. Puli SR, Graumlich JF, Pamulaparthy SR, et al. Endoscopic transmuralnecrosectomy for walled-off pancreatic necrosis: a systematic review and meta-analysis. Can J Gastroenterol Hepatol. 2014;28:50-53. 
  47. Rana SS, Bhasin DK, Reddy YR, Sharma V, Rao C, Sharma RK, Gupta R. Morphological features of fluid collections on endoscopic ultrasound in acute necrotizing pancreatitis: do they change over time? Ann Gastroenterol. 2014;27:258-261. 
  48. Rana SS, Bhasin DK, Sharma RK, Kathiresan J, Gupta R. Do the morphological features of walled off pancreatic necrosis on endoscopic ultrasound determine the outcome of endoscopic transmural drainage? Endosc Ultrasound. 2014;3:118-122.  https://doi.org/10.4103/2303-9027.131039
  49. Vilmann A, Menachery J, Tang S, Srinivasan I, Vilmann P. EUS-guided management of pancreatic fluid collections. World J Gastroenterol. 2015;21(41):11842-11853. https://doi.org/10.3748/wjg.v21.i41.11842
  50. Gardner TB, Chahal P, Papachristou GI, et al. A comparison of direct endoscopic necrosectomy with transmural endoscopic drainage for the treatment of walled-off pancreatic necrosis. Gastrointest Endosc. 2009;69:1085-1094.
  51. Thompson CC, Kumar N, Slattery J, et al. A standardized method for endoscopic necrosectomy improves complication and mortality rates. Pancreatology. 2016;16:66-72. 
  52. Bakker OJ, van Santvoort HC, van Brunschot S, et al. Endoscopic transgastricvs surgical necrosectomy for infected necrotizing pancreatitis. A randomized trial. JAMA. 2012;307:1053-1061.
  53. Mukai S, Itoi T, Moriyasu F. Interventional endoscopy for the treatment of pancreatic pseudocyst and walled-off necrosis (with videos). J Hepatobiliary PancreatSci. 2014;21:75-85. 
  54. Kumar N, Conwell DL, Thompson CC. Direct endoscopic necrosectomy versus step-up approach for walled-off pancreatic necrosis: comparison of clinical outcome and health care utilization. Pancreas. 2014;43:1334-1339.
  55. van der Wiel SE, Poley JW, Grubben M, et al. The EndoRotor, a novel tool for the endoscopic management of pancreatic necrosis. Endoscopy. 2018;50:240-241. 
  56. Gornals JB, Consiglieri CF, Busquets J, et al. Endoscopic necrosectomy of walled-off pancreatic necrosis using a lumen-apposing metal stent and irrigation technique. Surg Endosc. 2016;30:2592-2602.
  57. Yan L, Dargan A, Nieto J, et al.Direct endoscopic necrosectomy at the time of transmuralstent placement results in earlier resolution of complex walled-off pancreatic necrosis: Results from a largemulticenter United States trial. Endosc Ultrasound. 2019;8:172-179. 
  58. Ang TL, Kwek ABE, Tan SS, et al. Direct endoscopic necrosectomy: a minimally invasive endoscopic technique for the treatment of infected walled-off pancreatic necrosis and infected pseudocysts with solid debris. Singapore Med J. 2013;54:206-211. 
  59. Trikudanathan G, Tawfik P, Amateau SK, et al. Early (<4 weeks) versus standard (4 weeks) endoscopically centered step-up interventions for necrotizing pancreatitis. Am J Gastroenterol. 2018;113:1550-1558.
  60. Bausch D, Wellner U, Kahl S, et al. Minimally invasive operations for acute necrotizing pancreatitis: comparison of minimally invasive retroperitoneal necrosectomy with endoscopic transgastricnecrosectomy. Surgery. 2012;152:128-134. 
  61. Bartholdy A, Werge M, Novovic S, et al. Endoscopic treatment with transmural drainage and necrosectomy for walled-off necrosis provides favourable long-term outcomes on pancreatic function. United European Gastroenterology Journal. 2020;8(5):552-558. 
  62. Carter CR, McKay CJ, Imrie CW. Percutaneous necrosectomy and sinus tract endoscopy in the management of infected pancreatic necrosis: an initial experience. Ann Surg. 2000;232:175-180. 
  63. Dhingra R, Srivastava S, Behra S, et al. Single or multiport percutaneous endoscopic necrosectomy performed with the patient under conscious sedation is a safe and effective treatment for infected pancreatic necrosis (with video). Gastrointest Endosc. 2015;81:351-359. 
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