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Gut 58:1260-1266 doi:10.1136/gut.2008.163733
  • Pancreas

Transluminal endoscopic necrosectomy after acute pancreatitis: a multicentre study with long-term follow-up (the GEPARD Study)

Table 4

Summary of results

Data No (%) Comments
Endoscopic access 93
Initial data
    Success 75 (81)
    Surgery rate 12 (13) 8 due to failure, 4 due to complications
    Complications 24 (26) See text
    Mortality 7 (7.5) 2 during endotherapy, 5 during initial hospitalisation
Long-term data
    Clinical success 63 (68)*
    Recurrent cavity 8 (9)
    Recurrent pancreatitis 15 (16)
    Delayed surgery 3 (3)
    Late mortality 7 (7.5)* One related to pancreatitis
    Initial surgery 12 (13)
    Initial surgical mortality 1 (1)
Initial mortality 7
    Bleeding 1
    Air embolism 1
    Sepsis non-surgical 4
    Postoperative (sepsis) 1
Late mortality
    For unrelated reasons 6
    Related to pancreas† 1
  • *Six out of seven patients who died during follow-up were counted as having had initially successful pancreatic endotherapy (see table 2).

  • †Including endotherapy or surgery.

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