关键词: 急性坏死性胰腺炎, 包裹性坏死, 内镜治疗

Abstract: Key issues in endoscopic drainage and debridement treatment in acute necrotizing pancreatitis        HE Wen-hua, ZHU Yin. Department of Gastroenterology, the First Affiliated Hospital of Nanchang University, Nanchang 330006, China
Corresponding author: ZHU Yin, E-mail: zhuyin27@sina.com.cn
Abstract    Infected pancreatic necrosis is a major local complication in the later stages of acute necrotizing pancreatitis, and it is the main cause of prolonged hospitalization and death. Minimally invasive step-up therapy is currently considered superior to traditional open surgery, and endoscopic step-up therapy is internationally recommended as the preferred intervention method because it has fewer complications, less hospitalization time, and less hospitalization cost than minimally invasive surgical procedures. Minimally invasive step-up therapy includes initial endoscopic transmural drainage or percutaneous drainage, and endoscopic transgastric necrosectomy, video-assisted retroperitoneal debridement, or sinus tract endoscopy if necessary.

Key words: acute necrotizing pancreatitis, walled-off necrosis, endoscopic therapy