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Browsing by Subject "Necrotizing pancreatitis"
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Item Pancreatitis associated anxiety, depression, and stress: Hypothesis, definition, and intervention(Elsevier, 2022-07-02) McGuire, Sean P.; Montero, Anne Mary; McGreevy, Kathleen A.; Zyromski, Nicholas J.; Surgery, School of MedicineNecrotizing pancreatitis is characterized by a prolonged disease course requiring frequent hospitalization and intervention. Necrotizing pancreatitis patients have high rates of intensive care unit admission and organ failure. Critical illness is an identified risk factor for the development of anxiety, depression, and posttraumatic stress disorder. Limited literature examines quality of life in necrotizing pancreatitis patients, and studies examining psychiatric sequalae of necrotizing pancreatitis including depression, anxiety, and posttraumatic stress disorder are virtually nonexistent. Here, we review critical literature examining risk factors for poor mental health outcomes during and after necrotizing pancreatitis, identify several screening instruments to quantify mental health outcomes, and propose an intervention to improve mental health outcomes in patients with necrotizing pancreatitis. We conclude that establishing the incidence of mental health disorders and implementing strategies to improve mental health outcomes are critical to holistic care of necrotizing pancreatitis patients.Item Transgastric pancreatic necrosectomy: Tricks of the trade(Elsevier, 2023-06-10) McGuire, Sean P.; Maatman, Thomas K.; Zyromski, Nicholas J.; Surgery, School of MedicineNecrotizing pancreatitis (NP) affects 20 % of the 300,000 patients diagnosed with acute pancreatitis every year. Mechanical intervention to debride necrotic and/or infected pancreatic and peripancreatic tissue is frequently required. Minimally invasive approaches to treat pancreatic necrosis have gained popularity over the last two decades, including transgastric pancreatic necrosectomy. The purpose of this report is to review the indications, surgical technique, advantages, and limitations of surgical transgastric necrosectomy.