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Articles Published Processes
12/10/2014 3:50:00 PM | Browse: 834 | Download: 1077
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Received |
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2014-03-01 12:20 |
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Peer-Review Started |
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2014-03-01 18:56 |
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To Make the First Decision |
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2014-06-18 17:23 |
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Return for Revision |
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2014-06-22 19:05 |
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Revised |
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2014-07-07 15:33 |
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Second Decision |
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2014-09-30 09:57 |
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Accepted by Journal Editor-in-Chief |
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Accepted by Executive Editor-in-Chief |
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2014-09-30 10:07 |
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Articles in Press |
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2014-09-30 10:52 |
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Publication Fee Transferred |
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Edit the Manuscript by Language Editor |
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2014-10-05 07:46 |
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Typeset the Manuscript |
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2014-11-19 15:56 |
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Publish the Manuscript Online |
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2014-12-10 15:52 |
Category |
Gastroenterology & Hepatology |
Manuscript Type |
Topic Highlights |
Article Title |
Is necrosectomy obsolete for infected necrotizing pancreatitis? Is a paradigm shift needed?
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Manuscript Source |
Invited Manuscript |
All Author List |
Yu-Chung Chang |
Funding Agency and Grant Number |
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Corresponding Author |
Yu-Chung Chang, MD, PhD, Department of Surgery, Chung Shan Medical University Hospital, College of Medicine, Chung Shan Medical University, No. 110, Sec. 1, Jianguo N. Road, South Dist., Taichung 40201, Taiwan. changmdphd@yahoo.com |
Key Words |
Delay until liquefaction; Infected necrotizing pancreatitis; Minimally invasive treatment; Transluminal endoscopic drainage/necrosectomy; Walled-off pancreatic necrosis |
Core Tip |
A shift from early, prompt surgical necrosectomy to delay until liquefaction has become the global consensus for treatment of infected necrotizing pancreatitis, which allows drainage procedures and minimally invasive techniques to play a more important role before definitive surgery. Success rates of 80% and single-digit mortality rates are reported with transluminal endoscopic drainage and irrigation with a percutaneous gastrostomy access route. Zero mortality using transluminal endoscopic drainage without a necrosectomy can be achieved. A paradigm shift from necrosectomy to drainage for the treatment of walled-off necrotizing pancreatitis should be considered. |
Publish Date |
2014-12-10 15:52 |
Citation |
Chang YC. Is necrosectomy obsolete for infected necrotizing pancreatitis? Is a paradigm shift needed? World J Gastroenterol 2014; 20(45): 16925-16934 |
URL |
http://www.wjgnet.com/1007-9327/full/v20/i45/16925.htm |
DOI |
http://dx.doi.org/10.3748/wjg.v20.i45.16925 |
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