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A Step-up Approach or Open Necrosectomy for Necrotizing Pancreatitis
Author(s) -
Hjalmar C. van Santvoort,
Marc G. Besselink,
Olaf J. Bakker,
H. Sijbrand Hofker,
Marja A. Boermeester,
Cornelis H.C. Dejong,
Harry van Goor,
Alexander F. Schaapherder,
Casper H.J. van Eijck,
Thomas L. Bollen,
Bert van Ramshorst,
Vincent B. Nieuwenhuijs,
Robin Timmer,
Johan S. Laméris,
Philip M. Kruyt,
Eric R. Manusama,
Erwin van der Harst,
George P. van der Schelling,
Tom M. Karsten,
E. J. Hesselink,
Cornelis JHM van Laarhoven,
Camiel Rosman,
K. Bosscha,
Ralph J. de Wit,
Alexander P. J. Houdijk,
Maarten S. van Leeuwen,
Erik Buskens,
Hein G. Gooszen
Publication year - 2010
Publication title -
new england journal of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 19.889
H-Index - 1030
eISSN - 1533-4406
pISSN - 0028-4793
DOI - 10.1056/nejmoa0908821
Subject(s) - medicine , surgery , percutaneous , enterocutaneous fistula , necrotizing pancreatitis , perforation , pancreatitis , mortality rate , pancreatic fistula , fistula , pancreas , materials science , punching , metallurgy
Necrotizing pancreatitis with infected necrotic tissue is associated with a high rate of complications and death. Standard treatment is open necrosectomy. The outcome may be improved by a minimally invasive step-up approach.

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