You are here

  • Home
  • Online First
  • Endoscopic necrosectomy in necrotising pancreatitis: indication is the key

Article Text

Article menu

other Versions

Download PDFPDF
PostScript
Letter
Endoscopic necrosectomy in necrotising pancreatitis: indication is the key
  1. Hjalmar C van Santvoort1,
  2. Marc G Besselink1,
  3. Olaf J Bakker1,
  4. Frank P Vleggaar2,
  5. Robin Timmer3,
  6. Bas L Weusten3,
  7. Hein G Gooszen1
  8. on behalf of the Dutch Pancreatitis Study Group
  1. 1Department of Surgery, University Medical Center Utrecht, The Netherlands
  2. 2Department of Gastroenterology and Hepatology, University Medical Center, Utrecht, The Netherlands
  3. 3Department of Gastroenterology, St. Antonius Hospital Nieuwegein, The Netherlands
  1. Correspondence to Prof Hein G Gooszen, Chairman Dutch Pancreatitis Study Group, Radboud University Nijmegen Medical Center, PO Box 9101, 6500 MB Nijmegen, The Netherlands; h.gooszen{at}ok.umcn.nl/h.vansantvoort{at}umcutrecht.nl

https://doi.org/10.1136/gut.2009.192815

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    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 …

    View Full Text

    Footnotes

    • Competing interests None.

    • Provenance and peer review Not commissioned; externally peer reviewed