Infected necrotizing pancreatitis treatment benefits from endoscopic strategies, outperforming traditional surgical methods. The systematic review revealed that upfront endoscopic necrosectomy (uen) ranked highest, showing significantly lower mortality rates, fewer complications, and shorter hospital stays. Endoscopic step-up (esu) approaches also displayed favorable results. A cost-effectiveness analysis confirmed endoscopic methods as the most economical choice, with a 97.2% probability of being cost-effective at a $100,000 threshold. Overall, these findings advocate for endoscopic interventions when feasible.
Review by Tan HL, Zhao Y (…) Koh YX et 6 al. in J Gastrointest Surg
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