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- acute pancreatitis
- endoscopy procedures
- endoscopy, gastrointestinal surgery
- pancreatic surgery
We read with great interest the paper by Seifert et al on the outcome of endoscopic necrosectomy in 93 patients with necrotising pancreatitis.1 We congratulate the authors in completing a multicentre study in such a complicated group of patients. The authors conclude that endoscopic necrosectomy has good initial success and favourable long-term outcome. Complication rate and mortality rate were 25% and 7.5%, respectively. Although it was suggested that these results may compare favourably with recent series on surgical necrosectomy, we feel these data should be interpreted with caution.
The primary indication for necrosectomy in patients with necrotising pancreatitis is infected necrosis, as is stated in international guidelines.2–4 Intervention in …