Endoscopic Necrosectomy for Walled-Off Pancreatic Necrosis
نویسنده
چکیده
Approximately 20% of patients with acute pancreatitis develop pancreatic necrosis with significant mortality. Surgical debridement is the traditional management of necrotizing pancreatitis, but it is associated with significant morbidity and mortality. Endoscopic necrosectomy using repeats session of debridement and stent insertion has been more frequently used within the last decade and half. This technique continues to evolve as we attempt to optimize the post-procedural outcomes.
منابع مشابه
Case report of EUS-guided endoscopic transduodenal necrosectomy in a patient with sleeve gastrectomy
BACKGROUND After an acute attack of pancreatitis, walled-off pancreatic fluid collections (PFC) occur in approximately 10 % of cases. Drainage of the cavity is recommended when specific indications are met. Endoscopic drainage has been adopted as the main intervention for symptomatic walled-off PFC. Altered gastric anatomy in these patients poses an interesting challenge. We present the first c...
متن کاملEndoscopic transluminal pancreatic necrosectomy using a self-expanding metal stent and high-flow water-jet system.
Walled-off pancreatic necrosis and a pancreatic abscess are the most severe complications of acute pancreatitis. Surgery in such critically ill patients is often associated with significant morbidity and mortality within the first few weeks after the onset of symptoms. Minimal invasive approaches with high success and low mortality rates are therefore of considerable interest. Endoscopic therap...
متن کاملTriple Pancreatic Walled-off Fluid Collections Treated Simultaneously with Endoscopic Transmural Drainage
Pancreatic pseudocysts and walled-off pancreatic necrosis arise as a complication of pancreatitis. Multiple fluid collections are seen in 5-20% of the patients who have walled-off peripancreatic fluid collections. There is a paucity of data regarding the role of endoscopic transmural drainage in the management of multiple pancreatic fluid collections. In this case report, we present the case of...
متن کاملNobody really knows how to perform endoscopic necrosectomy
The advent of lumen-apposing metal stents (LAMSs) as a tool in endoscopic ultrasound (EUS) has had what can only be called a transformative effect on EUS‐guided drainage of pancreatic fluid collections (PFCs) including pseudocysts and, more importantly, walled‐off pancreatic necrosis.[1-6] These procedures are being performed at more centers and in much greater numbers than ever before. Older t...
متن کاملExtended Cystogastrostomy with Hydrogen Peroxide Irrigation Facilitates Endoscopic Pancreatic Necrosectomy
INTRODUCTION Walled-off pancreatic necrosis (WOPN) is a major complication of acute pancreatitis. We hypothesized that an extended (2 cm) cystogastrostomy opening combined with hydrogen peroxide irrigation can increase the success of endoscopic necrosectomy and decrease the number of required endoscopic interventions. The aim of the study is to assess the safety and feasibility of the technique...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
دوره 45 شماره
صفحات -
تاریخ انتشار 2012