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KMID : 0985520160210010034
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Korean Journal of Pancreas and Biliary Tract
2016 Volume.21 No. 1 p.34 ~ p.39
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Wernicke Encephalopathy after Endoscopic Necrosectomy in Acute Necrotizing Pancreatitis with WOPN: A Case Repor
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김민수:Kim Min-Su
강은경:Kang Eun-kyung/김지연:Kim Ji-Yeon/문송미:Moon Song-Mi/서일혜:Seo Yiel-Hea/조재희:Cho Jae-Hee/박윤수:Park Yoon-Soo
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Abstract
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Infected walled-off pancreatic necrosis (WOPN) is dangerous complication of acute pancreatitis. Open necrosectomy and post-operative irrigation of necrotic cavity have been conventional treatment for infected pancreatic necrosis, however, recently minimally invasive techniques such as endoscopic necrosectomy has been regarded as preferred treatment method for infected WOPN. Endoscopic necrosectomy provides a targeted approach with a reduction in the systemic inflammatory response and avoidance of wound complications. Non alcohol related Wernicke encephalopathy is rare disease caused by thiamine deficiency due to intravenous feeding, and presented an encephalopathy, oculomotor dysfunction, gait ataxia. We report herein a case of Wernicke encephalopathy after successful endoscopic necrosectomy for infected WOPN.
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KEYWORD
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Pancreatitis, Acute necrotizing, Endoscopic necrosectomy, Wernicke encephalopathy, WOPN
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