Subscribe to RSS
DOI: 10.1055/s-0043-1766121
Risk Factors for Bleeding during Endoscopic Necrosectomy: Are We Wiser Now?
Funding None.
Abstract
Endoscopic necrosectomy (EN) in acute necrotizing pancreatitis has mortality benefits and may avert the requirement for surgery. However, bleeding is a common adverse event during EN. There is limited knowledge about the risk factors predicting this adverse event and the measures for its management. In this news and views, we discuss recently published studies that evaluated the risk factors for bleeding during EN.
Publication History
Article published online:
03 July 2023
© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Bank S, Singh P, Pooran N, Stark B. Evaluation of factors that have reduced mortality from acute pancreatitis over the past 20 years. J Clin Gastroenterol 2002; 35 (01) 50-60
- 2 Jearth V, Rana SS. Endoscopic step up: when and how. Surg Open Sci 2022; 10: 135-144
- 3 Rana SS, Sharma R, Kishore K, Dhalaria L, Gupta R. Safety and efficacy of early (<4 weeks of illness) endoscopic transmural drainage of post-acute pancreatic necrosis predominantly located in the body of the pancreas. J Gastrointest Surg 2021; 25 (09) 2328-2335
- 4 van Brunschot S, Fockens P, Bakker OJ. et al. Endoscopic transluminal necrosectomy in necrotising pancreatitis: a systematic review. Surg Endosc 2014; 28 (05) 1425-1438
- 5 Rana SS, Shah J, Kang M, Gupta R. Complications of endoscopic ultrasound-guided transmural drainage of pancreatic fluid collections and their management. Ann Gastroenterol 2019; 32 (05) 441-450
- 6 Bhargava MV, Rana SS, Gorsi U, Kang M, Gupta R. Assessing the efficacy and outcomes following irrigation with streptokinase versus hydrogen peroxide in necrotizing pancreatitis: a randomized pilot study. Dig Dis Sci 2022; 67 (08) 4146-4153
- 7 Gupta R, Shenvi SD, Nada R. et al. Streptokinase may play role in expanding non-operative management of infected walled off pancreatic necrosis: preliminary results. Pancreatology 2014; 14 (05) 415-418
- 8 Zheng X, Li L, Li J. et al. Risk factors for bleeding in patients with acute necrotizing pancreatitis undergoing endoscopic necrosectomy. HPB (Oxford) 2021; 23 (12) 1856-1864
- 9 Holmes I, Shinn B, Mitsuhashi S. et al. Prediction and management of bleeding during endoscopic necrosectomy for pancreatic walled-off necrosis: results of a large retrospective cohort at a tertiary referral center. Gastrointest Endosc 2022; 95 (03) 482-488
- 10 Rana SS, Sharma V, Sharma R, Gupta R, Bhasin DK. Endoscopic ultrasound guided transmural drainage of walled off pancreatic necrosis using a “step-up” approach: a single centre experience. Pancreatology 2017; 17 (02) 203-208
- 11 Rana SS, Verma S, Kang M, Gorsi U, Sharma R, Gupta R. Comparison of endoscopic versus percutaneous drainage of symptomatic pancreatic necrosis in the early (<4 weeks) phase of illness. Endosc Ultrasound 2020; 9 (06) 402-409
- 12 Rana SS, Sharma R, Ahmed SU, Gupta R. Endoscopic ultrasound-guided transmural drainage of walled-off pancreatic necrosis in patients with portal hypertension and intra-abdominal collaterals. Indian J Gastroenterol 2017; 36 (05) 400-404