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KMID : 0374920110320010113
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Inje Medical Journal
2011 Volume.32 No. 1 p.113 ~ p.121
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Successful Endoscopic Treatment of Pancreatic Abscess which was not improved after Surgical Gastrocystostomy
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Seo Hee-Young
Jeon Tae-Joo
Kim Sun-Young
Kang Mi-Seon
Heo Ran
Park Ji-Young
Seo Dong-Dae
Oh Tae-Hoon
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Abstract
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Necrotizing pancreatitis develops in about 10-20% of patients with acute pancreatitis, and pancreatic abscesses develop in 3% of them. The mortality of pancreatic abscess has been reported up to 40% in one study. Recently, there are several reports that show good results with n on-surgical therapy, such as percutaneous drainage and endoscopic drainage, but if the non-surgical drainage fails, surgical therapy are recommended. However, there is no definite therapeutic method which is suggested yet so far after the failure of the surgical drainage. So we report the case in which we experienced successful treatment of pancreatic abscess by endoscopic removal of necrotic tissue through the gastrocystostomy, after the failure of the surgical debridement and internal drainage through gastrocystostomy.
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KEYWORD
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necrotizing pancreatitis, pancreatic abscess, gastrocystostomy, endoscopic removal of necrotic tissue
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