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Endoscopic or surgical step-up approach for infected necrotising pancreatitis: a multicentre randomised trial.
The Lancet ( IF 98.4 ) Pub Date : 2018-01-06 , DOI: 10.1016/s0140-6736(17)32404-2
Sandra van Brunschot , Janneke van Grinsven , Hjalmar C van Santvoort , Olaf J Bakker , Marc G Besselink , Marja A Boermeester , Thomas L Bollen , Koop Bosscha , Stefan A Bouwense , Marco J Bruno , Vincent C Cappendijk , Esther C Consten , Cornelis H Dejong , Casper H van Eijck , Willemien G Erkelens , Harry van Goor , Wilhelmina M U van Grevenstein , Jan-Willem Haveman , Sijbrand H Hofker , Jeroen M Jansen , Johan S Laméris , Krijn P van Lienden , Maarten A Meijssen , Chris J Mulder , Vincent B Nieuwenhuijs , Jan-Werner Poley , Rutger Quispel , Rogier J de Ridder , Tessa E Römkens , Joris J Scheepers , Nicolien J Schepers , Matthijs P Schwartz , Tom Seerden , B W Marcel Spanier , Jan Willem A Straathof , Marin Strijker , Robin Timmer , Niels G Venneman , Frank P Vleggaar , Rogier P Voermans , Ben J Witteman , Hein G Gooszen , Marcel G Dijkgraaf , Paul Fockens , Eric R Manusama , Mohammed Hadithi , Camiel Rosman , Alexander F Schaapherder , Erik J Schoon

Infected necrotising pancreatitis is a potentially lethal disease and an indication for invasive intervention. The surgical step-up approach is the standard treatment. A promising alternative is the endoscopic step-up approach. We compared both approaches to see whether the endoscopic step-up approach was superior to the surgical step-up approach in terms of clinical and economic outcomes.

中文翻译:

感染性坏死性胰腺炎的内镜或外科手术进阶方法:一项多中心随机试验。

感染性坏死性胰腺炎是潜在的致死性疾病,是侵入性干预的指征。外科手术加深方法是标准治疗方法。一种有前途的替代方法是内窥镜升压法。我们比较了这两种方法,以观察在临床和经济方面,内镜升压方法是否优于手术升压方法。
更新日期:2018-01-05
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