, Volume 27, Issue 11, pp 4395-4396
Date: 19 Jun 2013

Comments on the article about the treatment of infected pancreatic necrosis

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To the Editor,

We read with interest the article by Wroński et al. [1] about evaluation of the safety and efficacy of sonographically guided percutaneous catheter drainage (PCD) for infected pancreatic necrosis (IPN). In their retrospective study, they analyzed the patient group of 16 men and 2 women, concluding that ultrasound-guided PCD used in IPN was a technique with acceptably low morbidity and mortality that could be the definitive treatment or a bridge management to necrosectomy. A negligible decrease in size of the necrotic collection predicts failure of PCD.

Although the outcome of this series shows less success rate as definitive treatment for IPN (33 %) compared to the outcomes (84 %) of ours [2] and most of the previously reported similar studies [3, 4], there are certain limitations to this conclusion as a result of the clinical characteristics and the severity of the state of enrolled patients being different—and to a certain extent incomparable—among the studies.