Zeng Y, Yang J, Zhang JW. Endoscopic transluminal drainage and necrosectomy for infected necrotizing pancreatitis: Progress and challenges. World J Clin Cases 2023; 11(9): 1888-1902 [PMID: 36998953 DOI: 10.12998/wjcc.v11.i9.1888]
Corresponding Author of This Article
Jian Yang, MD, PhD, Associate Chief Physician, Lecturer, Department of Gastroenterology, The First Affiliated Hospital of Chongqing Medical University, No. 1 Youyi Road, Yuzhong District, Chongqing 400016, China. yangjian@hospital.cqmu.edu.cn
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Review
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Mar 26, 2023; 11(9): 1888-1902 Published online Mar 26, 2023. doi: 10.12998/wjcc.v11.i9.1888
Endoscopic transluminal drainage and necrosectomy for infected necrotizing pancreatitis: Progress and challenges
Yan Zeng, Jian Yang, Jun-Wen Zhang
Yan Zeng, Department of Psychology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing 400010, China
Jian Yang, Jun-Wen Zhang, Department of Gastroenterology, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China
Author contributions: Yang J and Zhang JW conceptualized and designed the research; Zeng Y and Yang J performed the literature search and analyzed the data; Zeng Y wrote the original manuscript; Yang J and Zhang JW reviewed and edited the final manuscript; All authors have read and approved the final manuscript.
Conflict-of-interest statement: All authors declare no conflicts of interest associated with this manuscript.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jian Yang, MD, PhD, Associate Chief Physician, Lecturer, Department of Gastroenterology, The First Affiliated Hospital of Chongqing Medical University, No. 1 Youyi Road, Yuzhong District, Chongqing 400016, China. yangjian@hospital.cqmu.edu.cn
Received: December 9, 2022 Peer-review started: December 9, 2022 First decision: February 1, 2023 Revised: February 6, 2023 Accepted: March 1, 2023 Article in press: March 1, 2023 Published online: March 26, 2023 Processing time: 97 Days and 18.4 Hours
Abstract
Infected necrotizing pancreatitis (INP) represents a severe condition in patients with acute pancreatitis. Invasive interventions are recommended in symptomatic INP. Growing evidence has suggested interventional strategies of INP evolving from traditional surgery to minimally invasive step-up endoscopic procedures. However, there is still no standardized protocol for endoscopic interventions. Recently, various studies have been published about the endoscopic management of INP. This article reviews published articles and guidelines to present the progress and challenges of endoscopic transluminal drainage and necrosectomy in INP.
Core Tip: Infected necrotizing pancreatitis (INP) is a severe condition in patients with acute pancreatitis. Endoscopic transluminal drainage and necrosectomy, especially endoscopic ultrasound-guided treatments, have become the mainstream minimally-invasive treatment for symptomatic INP. Growing evidence has proven progress in endoscopic transluminal interventions, while challenges and unsolved problems still need further investigation. Endoscopic transluminal interventions are neither omnipotent nor perfect. The predominant role of endoscopic treatment will be further developed with the advancements, standardization, and popularization of endoscopic techniques and devices in the near future.
