Transluminal endoscopic necrosectomy for pancreatic necrosis: in all hands and for all patients, or with selected endoscopists in selected patients?

摘要

The first limitation of transluminal endoscopic necrosectomy after acute pancreatitis (TENAP) series is the definition of pancreatic necrosis. Transmural endoscopic drainage of pancreatic pseudocysts or abscesses has been performed since the 1980s and is becoming a standardised procedure.2 Recently, endoscopic ultrasound (EUS) guidance of such complications of acute pancreatitis has expanded the field of the endoscopic treatment of pancreatic pseudocysts and made it safer. More than half of the pseudocysts do not bulge through the digestive wall and are not amenable to. conventional endoscopic drainage.