ReviewCurrent gastroenterology reports1999
Management of fluid collections and necrosis in acute pancreatitis.
Review in Current gastroenterology reports, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.
- Lumen-apposing metal stents versus traditional self-expanding metal stents for endoscopic ultrasound-guided drainage of pancreatic fluid collections: a systematic review and meta-analysis.Surgical endoscopy · 2024Pooled it
- Application of endoscopic sphincterotomy in acute pancreatitis with fluid collection: a prospective study.World journal of gastroenterology · 2005Trial
- Cross-sectional imaging after pancreatic surgery: The dialogue between the radiologist and the surgeon.European journal of radiology open · 2024Article
- LUMEN-APPOSING METAL STENT AND ELETROCAUTERY ENHANCED DELIVERY SYSTEM (HOT AXIOSTM) FOR DRAINAGE OF WALLED-OFF NECROSIS: THE FIRST BRAZILIAN CASE REPORT.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2019Article
- Comparison of clinical efficacies and safeties of lumen-apposing metal stent and conventional-type metal stent-assisted EUS-guided pancreatic wall-off necrosis drainage: a real-life experience in a tertiary hospital.Surgical endoscopy · 2018Article
- Minimally invasive treatment of pancreatic pseudocysts.World journal of gastroenterology · 2015Review
- Endoscopic Ultrasound-Guided Self-Expandable Metal Stent Placement for the Treatment of Infected Pancreatic Pseudocysts.Gastroenterology research · 2014Article
- Endoscopic management of peri-pancreatic collections.Gastroenterology research and practice · 2012Article
- Review
- Planned staged reoperative necrosectomy using an abdominal zipper in the treatment of necrotizing pancreatitis.Surgery today · 2005Article
- Medical management of acute pancreatitis: strategies, reality, and potential.Current gastroenterology reports · 2000Review
- Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
According to the Atlanta classification, the most widely accepted clinically based classification system for acute pancreatitis, four pathologic entities of fluid collections and necrosis are recognized. Acute fluid collections occur early as an exudative reaction to the pancreatic inflammation, have no fibrous wall, and resolve spontaneously. Pancreatic necrosis, the most severe form of acute pancreatitis, is diagnosed on dynamic contrast-enhanced computerized tomography and requires early aggressive cardiorespiratory resuscitation, nutritional support, and appropriate systemic antibiotics to prevent superinfection. Development of infection (infected necrosis) is the indication for operative debridement, preferably as late in the course of the disease as possible. Acute pseudocysts are collections of pancreatic, enzyme-rich fluid caused by pancreatic ductal disruption that occur 3 to 6 weeks after onset of acute pancreatitis and have a well-defined, nonepithelial fibrous wall. If communication with the ductal system is present, internal enteric drainage (either operative or endoscopic) is more effective; if communication is not present, the pseudocysts are amenable to percutaneous drainage. A pancreatic abscess is an infected, circumscribed peripancreatic collection, associated with minimal or no parenchymal necrosis, that occurs late (4 to 6 weeks) after onset of severe pancreatitis and may represent an infected pseudocyst; percutaneous drainage is the treatment of choice.
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