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Transcolonic Necrosectomy: A Rarely-Used Pancreatic Debridement Strategy

Year: 2025

Type: article

Abstract: Necrotizing pancreatitis represents a life-threatening sequela of acute pancreatitis in which rapid necrotization of pancreatic and abdominal tissue leads to inflammation and sometimes infection. Treatment includes debridement of necrotic tissue to prevent inflammation from spreading and antibiotics if infected. Areas of necrosis are accessed through percutaneous drainage, surgical debridement, or upper endoscopy. In this study, we present a case of walled-off necrosis debrided through a fistulous connection to the transverse colon. Transcolonic necrosectomy is a seldom used approach, which could provide treatment options for necrotizing pancreatitis in anatomically amenable patients.

Source: ACG Case Reports Journal

DOI: 10.14309/crj.0000000000001634

Authors: Thomas Rees Checketts, Ravishankar Madhu, Suhail Sidhu, Evan Daugherty, Ahmed Al-Chalabi

Institutions: Creighton University, CHI Health Creighton University Medical Center - Bergan Mercy

Language: English

Topic: Pancreatitis Pathology and Treatment

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4408621528

FWCI:

Cites: 9

Cited by:

Related to: 10