Pancreatic Necrosis

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Walled-off pancreatic necrosis.

Acute severe pancreatitits may be complicated by the development of 'walled-off pancreatic necrosis' (WOPN), which is characterised by a mixture of solid components and fluids on imaging studies as a consequence of organised pancreatic tissue necrosis. We present here an overview of the definition, clinical features, and diagnostic and therapeutic management of this clinical condition, which is...

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Infectious Pancreatic Necrosis

Infectious pancreatic necrosis (IPN) is a viral infection primarily of trout and salmon, but the virus has also been isolated from a wide variety of other fish species. The infection is characteristically seen in trout as an acute disease causing high mortality in fry and fingerlings. However, it may also occur as a benign and inconspicuous infection (Bullock et al. 1976). Because high fish los...

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Endotherapy for organized pancreatic necrosis.

G&H What is organized pancreatic necrosis, and how does it differ from a pseudocyst? RK There are over 200,000 hospitalizations for pancre-atitis in the United States yearly, and 20–25% of these cases involve severe acute pancreatitis. Most severe acute pancreatitis cases are associated with the loss of perfusion, or death, of part of the pancreas, a marker of and a prerequisite for pancreatic ...

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Management of infected pancreatic necrosis

Furthermore, virtually all of the mortality and most of the morbidity and cost of managing acute pancreatitis are confined to the 20% of patients that develop severe acute pancreatitis (SAP). The advent of dynamic contrast enhanced computed tomography (CT) demonstrated that SAP was associated with pancreatic and peri pancreatic necrosis. Early in the course of SAP, the illness is dominated by t...

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Infected Peri-Pancreatic Necrosis Causing Gallbladder Necrosis by Direct Extension

Acute acalculous cholecystitis may develop in patients suffering from necrotizing pancreatitis. Conversely, acute pancreatitis may complicate acute gallbladder disease. We present a case that lends support to the existence of another possibility: gallbladder necrosis caused by direct extension of the necrotizing pancreatitic process.

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ژورنال

عنوان ژورنال: Annals of Surgery

سال: 1998

ISSN: 0003-4932

DOI: 10.1097/00000658-199806000-00010