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Articles Published Processes
10/26/2017 2:48:10 AM | Browse: 937 | Download: 1464
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Received |
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2016-12-23 14:23 |
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Peer-Review Started |
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2016-12-28 08:30 |
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To Make the First Decision |
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2017-01-14 11:29 |
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Return for Revision |
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2017-01-16 19:45 |
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Revised |
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2017-07-31 05:55 |
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Second Decision |
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2017-08-10 03:40 |
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Accepted by Journal Editor-in-Chief |
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Accepted by Executive Editor-in-Chief |
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2017-10-03 18:59 |
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Articles in Press |
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2017-10-03 18:59 |
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Publication Fee Transferred |
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Edit the Manuscript by Language Editor |
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Typeset the Manuscript |
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2017-10-25 01:46 |
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Publish the Manuscript Online |
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2017-10-26 02:48 |
ISSN |
1948-9366 (online) |
Open Access |
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (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) 2017. 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 |
Mortality and morbidity in necrotizing pancreatitis managed on principles of step-up approach: 7 years experience from a single surgical unit
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Manuscript Source |
Invited Manuscript |
All Author List |
Deshpande Aparna, Sunil Kumar and Shukla Kamalkumar |
Funding Agency and Grant Number |
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Corresponding Author |
Deshpande Aparna, Doctor, Doctor, Professor, Department of Surgery, Seth G.S.Medical College and K.E.M. Hospital, Acharya Donde Marg, Parel, Mumbai 400012, India. aparnadeshpande@kem.edu |
Key Words |
Necrotizing pancreatitis; Nerosectomy; Morbidity and mortality in necrotizing pancreatitis; Step-up approach |
Core Tip |
Necrotizing pancreatitis is a clinical challenge which requires aggressive conservative management in the early part of the attack. About 60% patients respond to conservative management. Patients who develop infection in the necrosis may require intervention. Delay, drain and debride if required, are the principles of step-up approach. Percutaneous drainage should be performed to be followed later by a step-up necrosectomy if required. If percutaneous drainage is not available or is technically unfeasible, surgical necrosectomy can yield equally good results when performed after an appropriate delay at least of 2 wk. With advent of minimally invasive modalities, infected as well as symptomatic sterile necrosis can be treated variably with radiological, surgical or endoscopic means. The modality selected depends upon the local morphology of the inflamed pancreas and availability of expertise. |
Publish Date |
2017-10-26 02:48 |
Citation |
Aparna D, Kumar S, Kamalkumar S. Mortality and morbidity in necrotizing pancreatitis managed on principles of step-up approach: 7 years experience from a single surgical unit. World J Gastrointest Surg 2017; 9(10): 200-208 |
URL |
http://www.wjgnet.com/1948-9366/full/v9/i10/200.htm |
DOI |
http://dx.doi.org/10.4240/wjgs.v9.i10.200 |
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