For a study, researchers sought to find radiologic predictors of necrosectomy sessions being required more frequently. It could aid in identifying patients who would benefit from aggressive endoscopic treatment. It was a 3-tertiary care facility multicenter retrospective analysis of patients with WON. The characteristics of WON on preintervention computed CT imaging were examined to see if they predicted the need for further endoscopic necrosectomy. There were a total of 104 patients in the study. Seventy patients (67.3%) had endoscopic necrosectomy, with a median of 2 necrosectomies performed. WON biggest transverse widths (p=0.02), largest coronal diameters (p=0.01), necrosis pattern (LR=17.85, p<0.001), spread (LR=11.02, p=0.01), haemorrhage (LR=8.64, p=0.003), and presence of detached pancreatic duct (LR=6.80, p=0.01) were all linked to having greater than equal to 2 necrosectomies. Septations/locations were associated with a lower likelihood of undergoing greater than equal to 2 necrosectomies (LR=4.86, p=0.03). Having greater than equal to 2 necrosectomies was connected with several computed tomography radiologic characteristics. These could aid in identifying patients who will require more endoscopic necrosectomy sessions.
Source:journals.lww.com/jcge/Abstract/2022/05000/Radiologic_Predictors_of_Increased_Number_of.15.aspx
