{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T12:21:11Z","timestamp":1784290871199,"version":"3.55.0"},"reference-count":18,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2019,7,1]],"date-time":"2019-07-01T00:00:00Z","timestamp":1561939200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2019,7,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The step-up approach, using either flexible endoscopy or a minimal invasive retroperitoneal access, has reduced mortality and morbidity in patients with acute pancreatitis. The use of fully covered self-expanding metal stents (FCSEMS) or lumen apposing metal stents (LAMS) facilitates endoscopic necrosectomy and drainage of walled-off necrosis (WON). The aim of our analysis was to investigate the 30\/90\/365-day mortality and morbidity rates of the subtypes of the revised Atlanta classification for acute pancreatitis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      We conducted a retrospective analysis of all patients (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u2009302) treated with acute pancreatitis in our institution from January 2014 to July 2017. Mortality, morbidity, management of fluid collections, interventions, complications, and new onset of diabetes were recorded.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      In 30.8% (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200993\/302) of patients, pancreatic fluid collection developed. Out of these, 58.1% (54\/93) required intervention, consisting of endoscopic treatment in 63% (34\/54) or multidisciplinary approach in 37% (20\/54). Overall, 90-day mortality rate according to Kaplan\u2013Meier Estimator was 3.7%. Overall, 1-year mortality rate was 6.2%. One-year mortality for uncomplicated acute pancreatic fluid collection, pseudocyst, and WON were 5.4%, 2.6%, and 13.5%, respectively. Hemorrhage in case of metal stent treatment (FCSEMS\/LAMS) occurred in 14.3%. If LAMS was combined with double pigtail stent-in-stent, bleeding was seen in 5.3%. No transperitoneal necrosectomy was needed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Treating acute pancreatitis with a step-up approach, including stent-in-stent procedures, leads to low mortality rates and few stent-associated bleeding complications and minimizes necessity for open transperitoneal surgical necrosectomy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2018.0768","type":"journal-article","created":{"date-parts":[[2019,2,14]],"date-time":"2019-02-14T10:17:44Z","timestamp":1550139464000},"page":"891-899","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Evolution of Transluminal Necrosectomy for Acute Pancreatitis to Stent in Stent Therapy: Step-Up Approach Leads to Low Mortality and Morbidity Rates in 302 Consecutive Cases of Acute Pancreatitis"],"prefix":"10.1177","volume":"29","author":[{"given":"Helwig V.","family":"Wundsam","sequence":"first","affiliation":[{"name":"Department of General and Visceral Surgery, Congregation Hospital (Sisters of Charity), Linz, Austria."},{"name":"Academic Teaching Hospital, Medical University of Graz, Graz, Austria."},{"name":"Academic Teaching Hospital, Medical University of Innsbruck, Innsbruck, Austria."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georg O.","family":"Spaun","sequence":"additional","affiliation":[{"name":"Department of General and Visceral Surgery, Congregation Hospital (Sisters of Charity), Linz, Austria."},{"name":"Academic Teaching Hospital, Medical University of Graz, Graz, Austria."},{"name":"Academic Teaching Hospital, Medical University of Innsbruck, Innsbruck, Austria."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Franziska","family":"Br\u00e4uer","sequence":"additional","affiliation":[{"name":"Department of General and Visceral Surgery, Congregation Hospital (Sisters of Charity), Linz, Austria."},{"name":"Academic Teaching Hospital, Medical University of Graz, Graz, Austria."},{"name":"Academic Teaching Hospital, Medical University of Innsbruck, Innsbruck, Austria."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Schwaiger","sequence":"additional","affiliation":[{"name":"Department of General and Visceral Surgery, Congregation Hospital (Sisters of Charity), Linz, Austria."},{"name":"Academic Teaching Hospital, Medical University of Graz, Graz, Austria."},{"name":"Academic Teaching Hospital, Medical University of Innsbruck, Innsbruck, Austria."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ines","family":"Fischer","sequence":"additional","affiliation":[{"name":"Department of General and Visceral Surgery, Congregation Hospital (Sisters of Charity), Linz, Austria."},{"name":"Academic Teaching Hospital, Medical University of Graz, Graz, Austria."},{"name":"Academic Teaching Hospital, Medical University of Innsbruck, Innsbruck, Austria."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reinhold","family":"F\u00fcgger","sequence":"additional","affiliation":[{"name":"Department of General and Visceral Surgery, Congregation Hospital (Sisters of Charity), Linz, Austria."},{"name":"Academic Teaching Hospital, Medical University of Graz, Graz, Austria."},{"name":"Academic Teaching Hospital, Medical University of Innsbruck, Innsbruck, Austria."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,7,10]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cgh.2011.08.026"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2011.06.073"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.4240\/wjgs.v9.i10.200"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.7326\/M16-2533"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0908821"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v23.i15.2660"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2012.276"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2016-312812"},{"key":"e_1_3_3_10_2","volume-title":"Survival Analysis\u2014Techniques for Censored and Truncated Data","author":"Klein JP","year":"1997","unstructured":"Klein JP, , Moeschberger ML. Survival Analysis\u2014Techniques for Censored and Truncated Data. New York: Springer, 1997."},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/apt.12408"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1097\/MPA.0b013e318214812b"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.5290"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pan.2016.07.004"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2015.12.038"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)32404-2"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/MPA.0000000000000536"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2013-305062"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-017-5946-6"}],"container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/lap.2018.0768","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2018.0768","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2018.0768","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:52:19Z","timestamp":1777665139000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/lap.2018.0768"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,7,1]]},"references-count":18,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2019,7,1]]}},"alternative-id":["10.1089\/lap.2018.0768"],"URL":"https:\/\/doi.org\/10.1089\/lap.2018.0768","relation":{},"ISSN":["1092-6429","1557-9034"],"issn-type":[{"value":"1092-6429","type":"print"},{"value":"1557-9034","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,7,1]]}}}