Percutaneous drainage of pancreatic necrosis: is it ecstasy or agony?

AJR. American Journal of Roentgenology
P R Mueller

Abstract

The above comments are meant to help the reader further analyze the fine study of Freeny et al. [1]. To my knowledge, this is the first series to specifically define its patients correctly as having pure pancreatic necrosis. This work represents a thorough analysis of a difficult problem and points out how to treat these patients if one wants to be successful. This template is important to radiologists who wish to get involved with this type of patient. What Freeny et al. truly describe is the agony and ecstasy involved with this difficult undertaking. Radiologists can obtain a lot of satisfaction in taking care of this type of patient, but they and the referring physicians must be committed. The patient, the referring physician, and the radiologist must also face the agony in dealing with the illness. They must be ready to handle the number of catheters, the number of catheter changes, the number of CT scans, and the duration of drainage. In some cases percutaneous drainage will work; in some cases it is the only alternative for a patient with this disease. In other cases a catheter or two can be placed, but they might not be as beneficial to the patient as surgery. Clearly, percutaneous drainage of pancreatic necrosis can be ...Continue Reading

Citations

Jun 27, 2012·AJR. American Journal of Roentgenology·Guillaume BaudinPatrick Chevallier
Nov 30, 2010·Gastrointestinal Endoscopy·Kevin E Behrns, Thomas J Howard
Dec 8, 2010·The British Journal of Surgery·M C van BaalUNKNOWN Dutch Pancreatitis Study Group
Jun 26, 2010·ANZ Journal of Surgery·A Peter WysockiC Ross Carter
Oct 27, 2009·Pancreas·Udayakumar NavaneethanTodd H Baron

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