| ISSN |
1948-5190 (online) |
| Open Access |
This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/ |
| Copyright |
© The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Gastroenterology & Hepatology |
| Manuscript Type |
Retrospective Study |
| Article Title |
Predictive factors and outcomes of endoscopic necrosectomy in patients with acute pancreatitis and walled-off necrosis
|
| Manuscript Source |
Invited Manuscript |
| All Author List |
Shabir A Lone, Ujjwal Sonika, Ravi Teja Reddy, Venkatesh Vaithiyam, Payila SR Aneesh, Sri Harsha Palli, Ashok Dalal, Ajay Kumar, Siddharth Srivastava and Sanjeev Sachdeva |
| ORCID |
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| Funding Agency and Grant Number |
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| Corresponding Author |
Venkatesh Vaithiyam, Assistant Professor, Department of Gastroenterology, Govind Ballabh Pant Institute of Postgraduate Medical Education and Research, 1, Jawaharlal Nahru Marg, 64 Khamba, Raj Ghat, New Delhi 110002, Delhi, India. venkateshvaithiyam172@gmail.com |
| Key Words |
Acute pancreatitis; Walled-off necrosis; Necrosectomy; Endoscopy; Lumen-apposing metal stent |
| Core Tip |
Walled-off necrosis (WON) is a well-known complication of acute pancreatitis. Although many patients respond to endoscopic drainage alone, some require direct endoscopic necrosectomy for optimal outcomes. This retrospective study identified the clinical, biochemical, and radiological predictors of necrosectomy in patients undergoing placement of lumen-apposing metal stents. Of the examined factors, fever, anemia, hypoalbuminemia, systemic inflammatory response syndrome, pancreatic necrosis > 30%, WON size, and WON location were predictors of necrosectomy. Early identification of these predictors can guide clinicians in planning timely interventions, thereby improving outcomes and reducing morbidity associated with delayed or unnecessary necrosectomy. |
| Publish Date |
2025-12-16 03:23 |
| Citation |
Lone SA, Sonika U, Reddy RT, Vaithiyam V, Aneesh PS, Palli SH, Dalal A, Kumar A, Srivastava S, Sachdeva S. Predictive factors and outcomes of endoscopic necrosectomy in patients with acute pancreatitis and walled-off necrosis. World J Gastrointest Endosc 2025; 17(12): 111614 |
| URL |
https://www.wjgnet.com/1948-5190/full/v17/i12/111614.htm |
| DOI |
https://dx.doi.org/10.4253/wjge.v17.i12.111614 |
