November 3, 2010
An article was published in the November edition of the Pancreas Journal summarizing the consensus from this conference. Full text version can be found here:
Interventions for Necrotizing Pancreatitis
Videos taken on the day of the meeting are now available!
1. What are the main points in the revision of Atlanta classification with regards to pancreatic and/or peripancreatic necrosis excluding nomenclature of collections?
Michael Sarr, MD – Mayo Clinic
http://mediamill.cla.umn.edu/mediamill/embed/154024
2. What is the current nomenclature of collections in Atlanta classification and what is the need for revisions?
Thomas Bollen, MD – Brigham & Women’s Hospital
http://mediamill.cla.umn.edu/mediamill/embed/154025
Approved
3. When is MRI/MRCP, plus minus secretin/gadolinium indicated in necrosis?
What is the role of secretin MRCP in defining disconnected duct?
Desiree Morgan, MD – University of Alabama at Birmingham
http://mediamill.cla.umn.edu/mediamill/embed/154026
4. What is the role of EUS, MRCP, CT in differentiating necrosis from pseudocyst?
How much debris in a “pseudocyst” should suggest management as necrosis instead?
George Papachristou, MD – University of Pittsburgh
http://mediamill.cla.umn.edu/mediamill/embed/154027
5. How is infected necrosis diagnosed?
In 2010, is FNA any longer indicated to diagnose IN?
Scott Tenner, MD, MPH – SUNY Downstate
http://mediamill.cla.umn.edu/mediamill/embed/154028
6. When is intervention indicated for sterile and infected necrosis?
Is there a role for medical management for infected necrosis?
Peter Layer, MD – Iraelitic Hospital in Hamburg
http://mediamill.cla.umn.edu/mediamill/embed/154029
7. Consensus Discussion
Facilitators: Tim Gardner, MD, Darwin Conwell, MD &
Tooru Shimosegawa, MD, PhD
http://mediamill.cla.umn.edu/mediamill/embed/154031
8. In 2010,When is open surgical management of PN indicated
and when is it to be avoided, if possible?
Carlos Fernandez-del Castillo, MD – Massachusetts General Hospital
http://mediamill.cla.umn.edu/mediamill/embed/154032
9. If open debridement is to be performed, which technique has
best results?
Bettina Rau, MD – University of Rostock
http://mediamill.cla.umn.edu/mediamill/embed/154033
10. Consensus Discussion
Facilitators: Andrew Warshaw, MD, Peter Banks, MD &
Hans Beger, MD
http://mediamill.cla.umn.edu/mediamill/embed/154034
11. What are the approaches to minimally invasive necrosectomy?
John Windsor, MD – University of Auckland
http://mediamill.cla.umn.edu/mediamill/embed/154035
12. What are the results with intraperitoneal laparoscopic approach?
Dilip Parekh, MD – University of Southern California
http://mediamill.cla.umn.edu/mediamill/embed/154036
13. What are the results with retroperitoneal sinus track approach?
Ross Carter, MD – Glasgow Royal Infirmary Pancreatic Team
http://mediamill.cla.umn.edu/mediamill/embed/154037
14. What are the results with STEP-UP approach?
Hjalmar VanSantvoort, MD – University Medical Center, Utrecht
http://mediamill.cla.umn.edu/mediamill/embed/154038
15. Consensus Discussion
Facilitators: Marc Besselink, MD, PhD, Jeffrey B. Matthews, MD & Jens Werner, MD
http://mediamill.cla.umn.edu/mediamill/embed/154064
16. What are the results of percutaneous-only approach to debridement of necrosis?
When is it indicated?
Koenraad Mortele, MD – Brigham & Women’s Hospital
http://mediamill.cla.umn.edu/mediamill/embed/154065
17. What are the results of combined percutaneous endoscopic approach?
Andrew Ross, MD – Virginia Mason Medical Center
http://mediamill.cla.umn.edu/mediamill/embed/154066
18. What are the various techniques of endoscopic necrosectomy?
David Carr-Locke, MD – Beth Israel Medical Center
http://mediamill.cla.umn.edu/mediamill/embed/154067
19. When is EUS-guidance indicated for endoscopic necrosectomy?
Shyam Varadarajulu, MD – University of Alabama at Birmingham
http://mediamill.cla.umn.edu/mediamill/embed/154063
20. What are the challenges and future directions of transgastric debridement?
Todd H. Baron, MD – Mayo Clinic
http://mediamill.cla.umn.edu/mediamill/embed/154062
21. What are results of European multicenter series of necrosectomy?
Hans Seifert, MD – Klinikum Oldenburg
http://mediamill.cla.umn.edu/mediamill/embed/154061
22. What are the results of the systematic review on percutaneous drainage as a primary treatment of necrotizing pancreatitis ?
What are the results from the PENGUIN trial on endoscopy necrosectomy versus surgical necrosectomy?
Marc Besselink, MD, PhD – University Medical Center, Utrecht
http://mediamill.cla.umn.edu/mediamill/embed/154060
23. What are the outcomes of endoscopic management of disconnected pancreatic duct and recurrent fistula/PFCs?
Olivier Le Moine, MD, PhD – Hopital Erasme
http://mediamill.cla.umn.edu/mediamill/embed/154059
24. What are the outcomes of surgical management for disconnected pancreatic duct and recurrent fistula/PFC?
Greg Beilman, MD – University of Minnesota
http://mediamill.cla.umn.edu/mediamill/embed/154058
25. Consensus Discussion
Facilitators: Stefan Seewald, David Carr-Locke
http://mediamill.cla.umn.edu/mediamill/embed/154098
26. CASE DISCUSSIONS: WHICH TECHNIQUES FOR WHICH SCENARIOS
Facilitators: Santhi Swaroop Vege, MD & Martin Freeman, MD
http://mediamill.cla.umn.edu/mediamill/embed/154100
27. Wrap up/Consensus Discussion
Facilitators: Santhi Swaroop Vege, MD & Martin Freeman, MD