{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,7]],"date-time":"2025-05-07T23:10:06Z","timestamp":1746659406000,"version":"3.40.5"},"reference-count":57,"publisher":"Georg Thieme Verlag KG","issue":"01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Semin intervent Radiol"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Acute pancreatitis (AP) is a severe inflammatory condition of the pancreas with significant morbidity and mortality, particularly in its necrotizing form. This review explores the management of peripancreatic collections and in particular necrotizing pancreatitis, focusing on the evolution from traditional open surgical methods to contemporary minimally invasive image-guided techniques. AP can lead to various local complications, including pancreatic pseudocysts, acute necrotic collections, and walled-off necrosis. Imaging plays a crucial role in diagnosing complications of AP, while treatment approaches have shifted toward a step-up strategy involving percutaneous, endoscopic, and minimally invasive methods. Percutaneous necrosectomy, combining mechanical and chemical debridement, has shown promising results. Mechanical necrosectomy uses devices like baskets and retrieval nets, while chemical necrosectomy adds agents like hydrogen peroxide and streptokinase. Current evidence suggests that the step-up approach, starting with percutaneous drainage or necrosectomy and escalating to endoscopic or surgical interventions, if necessary, improves patient outcomes. The review underscores the need for a multidisciplinary approach in managing complicated AP and highlights ongoing advancements in minimally invasive techniques.<\/jats:p>","DOI":"10.1055\/s-0044-1801358","type":"journal-article","created":{"date-parts":[[2025,1,6]],"date-time":"2025-01-06T23:34:07Z","timestamp":1736206447000},"page":"082-092","source":"Crossref","is-referenced-by-count":0,"title":["Percutaneous Interventions and Necrosectomy in the Management of Peripancreatic Collections"],"prefix":"10.1055","volume":"42","author":[{"given":"Mohammad","family":"Mirza-Aghazadeh-Attari","sequence":"additional","affiliation":[{"name":"Division of Vascular and Interventional Radiology, Russell H. Morgan Department of Radiology and Radiological Sciences, Johns Hopkins University, Baltimore, Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seyed Sina","family":"Zakavi","sequence":"additional","affiliation":[{"name":"Liver and Gastrointestinal Disease Research Center, Tabriz University of Medical Sciences, Tabriz, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kamyar","family":"Ghabili","sequence":"additional","affiliation":[{"name":"Department of Radiology, Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melike N.","family":"Harfouche","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Maryland School of Medicine, Baltimore, Maryland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reena","family":"Jha","sequence":"additional","affiliation":[{"name":"Department of Radiology, MedStar Georgetown University Hospital, Washington, District of Columbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan C.","family":"Camacho","sequence":"additional","affiliation":[{"name":"Vascular and Interventional Radiology, Radiology Associates of Florida, Sarasota, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jamil","family":"Shaikh","sequence":"additional","affiliation":[{"name":"Department of Vascular and Interventional Radiology, University of South Florida, Tampa, Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pejman","family":"Radkani","sequence":"additional","affiliation":[{"name":"Department of Surgery, The Georgetown University School of Medicine, Washington, District of Columbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Walid M.","family":"Chalhoub","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, The Georgetown University School of Medicine, Washington, District of Columbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Merve","family":"Ozen","sequence":"additional","affiliation":[{"name":"Division of Interventional Radiology, Department of Radiology, Mayo Clinic, Phoenix, Arizona"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peiman","family":"Habibollahi","sequence":"additional","affiliation":[{"name":"Department of Interventional Radiology, University of Texas MD Anderson Cancer Center, Houston, 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