Transcolonic Necrosectomy: A Rarely-Used Pancreatic Debridement Strategy.
| Title: | Transcolonic Necrosectomy: A Rarely-Used Pancreatic Debridement Strategy. |
|---|---|
| Authors: | Checketts TR; Department of Internal Medicine, Creighton University Medical Center, Omaha, NE.; Madhu R; Creighton University School of Medicine, Omaha, NE.; Sidhu S; Creighton University School of Medicine, Omaha, NE.; Daugherty E; Department of Gastroenterology, Creighton University Medical Center, Omaha, NE.; Al-Chalabi A; Department of Gastroenterology, Creighton University Medical Center, Omaha, NE. |
| Source: | ACG case reports journal [ACG Case Rep J] 2025 Mar 19; Vol. 12 (3), pp. e01634. Date of Electronic Publication: 2025 Mar 19 (Print Publication: 2025). |
| Publication Type: | Case Reports; Journal Article |
| Language: | English |
| Journal Info: | Publisher: Wolters Kluwer Health Country of Publication: United States NLM ID: 101638398 Publication Model: eCollection Cited Medium: Print ISSN: 2326-3253 (Print) Linking ISSN: 23263253 NLM ISO Abbreviation: ACG Case Rep J Subsets: PubMed not MEDLINE |
| Imprint Name(s): | Publication: : [Philadelphia, PA] : Wolters Kluwer Health; Original Publication: Bethesda, MD : American College of Gastroenterology, 2013-2018. |
| Abstract: | Necrotizing pancreatitis represents a life-threatening sequela of acute pancreatitis in which rapid necrotization of pancreatic and abdominal tissue leads to inflammation and sometimes infection. Treatment includes debridement of necrotic tissue to prevent inflammation from spreading and antibiotics if infected. Areas of necrosis are accessed through percutaneous drainage, surgical debridement, or upper endoscopy. In this study, we present a case of walled-off necrosis debrided through a fistulous connection to the transverse colon. Transcolonic necrosectomy is a seldom used approach, which could provide treatment options for necrotizing pancreatitis in anatomically amenable patients.; (© 2025 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology.) |
| References: | Am J Gastroenterol. 2006 Oct;101(10):2379-400. (PMID: 17032204); Gastroenterology. 2011 Oct;141(4):1254-63. (PMID: 21741922); Gastroenterology. 2020 Jan;158(1):67-75.e1. (PMID: 31479658); Ann Surg. 2023 Aug 1;278(2):e284-e292. (PMID: 35866664); Pancreas. 2005 Apr;30(3):195-9. (PMID: 15782093); Cardiovasc Intervent Radiol. 2004 May-Jun;27(3):208-25. (PMID: 15024494); J Gastrointest Surg. 2002 May-Jun;6(3):481-7. (PMID: 12023003); Lancet. 2020 Sep 5;396(10252):726-734. (PMID: 32891214); Am J Gastroenterol. 2024 Mar 1;119(3):419-437. (PMID: 38857482) |
| Contributed Indexing: | Keywords: endoscopy; fistula; interventional endoscopy; necrotizing pancreatitis; post-ERCP pancreatitis; therapeutic endoscopy |
| Entry Date(s): | Date Created: 20250320 Latest Revision: 20250321 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC11922422 |
| DOI: | 10.14309/crj.0000000000001634 |
| PMID: | 40109563 |
| Database: | MEDLINE |
Case Reports; Journal Article