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10.1016/j.hpb.2015.07.003 http://scihub22266oqcxt.onion/10.1016/j.hpb.2015.07.003 C4766363!4766363 !26776851     free     free     free Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 229.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 263.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 263.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 263.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 263.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 263.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 263.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 263.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\26776851 .jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117       HPB+(Oxford) 2016 ; 18 (1 ): 49-56 Nephropedia Template TP {{tp|p=26776851 |t=2016. Diagnostic strategy and timing of intervention in infected necrotizing pancreatitis: an international expert survey and case vignette study |pdf=|usr=}}{{26776851 }} gab.com Text Diagnostic strategy and timing of intervention in infected necrotizing pancreatitis: an international expert survey and case vignette study JO: HPB (Oxford) http://www.kidney.de/pget.php?&tw=1&pmid=26776851 #FOAvip BACKGROUND: The optimal diagnostic strategy and timing of intervention in infected necrotizing pancreatitis is subject to debate. We performed a survey on these topics amongst a group of international expert pancreatologists. METHODS: An online survey including case vignettes was sent to 118 international pancreatologists. We evaluated the use and timing of fine needle aspiration (FNA), antibiotics, catheter drainage and (minimally invasive) necrosectomy. RESULTS: The response rate was 74% (N = 87). None of the respondents use FNA routinely, 85% selectively and 15% never. Most respondents (87%) use a step-up approach in patients with infected necrosis. Walled-off necrosis (WON) is considered a prerequisite for endoscopic drainage and percutaneous drainage by 66% and 12%, respectively. After diagnosing infected necrosis, 55% routinely postpone invasive interventions, whereas 45% proceed immediately to intervention. Lack of consensus about timing of intervention was apparent on day 14 with proven infected necrosis (58% intervention vs. 42% non-invasive) as well as on day 20 with only clinically suspected infected necrosis (59% intervention vs. 41% non-invasive). DISCUSSION: The step-up approach is the preferred treatment strategy in infected necrotizing pancreatitis amongst expert pancreatologists. There is no uniformity regarding the use of FNA and timing of intervention in the first 2-3 weeks of infected necrotizing pancreatitis. Twit Text FOAVip Diagnostic strategy and timing of intervention in infected necrotizing pancreatitis: an international expert survey and case vignette study ????HPB (Oxford) http://www.kidney.de/pget.php?&tw=1&pmid=26776851 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=26776851 #FOAvip English Wikipedia <ref>{{Cite pmid|26776851 }}</ref> Diagnostic strategy and timing of intervention in infected necrotizing pancreatitis: an international expert survey and case vignette study #MMPMID26776851 van Grinsven J ; van Brunschot S ; Bakker OJ ; Bollen TL ; Boermeester MA ; Bruno MJ ; Dejong CH ; Dijkgraaf MG ; van Eijck CH ; Fockens P ; van Goor H ; Gooszen HG ; Horvath KD ; van Lienden KP ; van Santvoort HC ; Besselink MG HPB (Oxford) 2016[Jan]; 18 (1 ): 49-56 PMID26776851 show ga BACKGROUND: The optimal diagnostic strategy and timing of intervention in infected necrotizing pancreatitis is subject to debate. We performed a survey on these topics amongst a group of international expert pancreatologists. METHODS: An online survey including case vignettes was sent to 118 international pancreatologists. We evaluated the use and timing of fine needle aspiration (FNA), antibiotics, catheter drainage and (minimally invasive) necrosectomy. RESULTS: The response rate was 74% (N = 87). None of the respondents use FNA routinely, 85% selectively and 15% never. Most respondents (87%) use a step-up approach in patients with infected necrosis. Walled-off necrosis (WON) is considered a prerequisite for endoscopic drainage and percutaneous drainage by 66% and 12%, respectively. After diagnosing infected necrosis, 55% routinely postpone invasive interventions, whereas 45% proceed immediately to intervention. Lack of consensus about timing of intervention was apparent on day 14 with proven infected necrosis (58% intervention vs. 42% non-invasive) as well as on day 20 with only clinically suspected infected necrosis (59% intervention vs. 41% non-invasive). DISCUSSION: The step-up approach is the preferred treatment strategy in infected necrotizing pancreatitis amongst expert pancreatologists. There is no uniformity regarding the use of FNA and timing of intervention in the first 2-3 weeks of infected necrotizing pancreatitis. |*Drainage/adverse effects/trends [MESH] |*Pancreatectomy/adverse effects/trends [MESH] |*Practice Patterns, Physicians'/trends [MESH] |*Time-to-Treatment/trends [MESH] |Anti-Bacterial Agents/*administration & dosage [MESH] |Biopsy, Fine-Needle [MESH] |Consensus [MESH] |Drug Administration Schedule [MESH] |Health Care Surveys [MESH] |Humans [MESH] |International Cooperation [MESH] |Pancreatitis, Acute Necrotizing/*diagnosis/microbiology/*therapy [MESH] |Predictive Value of Tests [MESH] |Risk Factors [MESH] |Surveys and Questionnaires [MESH]Diagnostic strategy and timing of intervention in infected necrotizing(epmc).pdf DeepDyve Pubget Overpricing