Endoscopic necrosectomy of walled-off pancreatic necrosis by large-bore percutaneus metal stent: a new opportunity?
نویسندگان
چکیده
Background and study aims Endoscopic drainage of walled-off pancreatic necrosis (WOPN) is feasible when contact with the gastric or duodenal wall is present; when WOPN cannot be accessed endoscopically, a percutaneous approach can be considered. Percutaneous use of esophageal self-expandable metal stents (SEMS) to establish access to a WOPN cavity was evaluated.
منابع مشابه
Endoscopic 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...
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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...
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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. ...
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A 14-year-old boy presented to our care with severe necrotizing pancreatitis secondary to a psychiatric medication. He had developed walled-off pancreas necrosis (WOPN) in the body of the pancreas that had become infected, as evidenced by air within a 10-cm collection on computed tomography (CT) scanning, fevers to 102°F, tachycardia, and leukocytosis. The CT scan showed the collection had a ma...
متن کاملP-THER-07: Evaluation of endoscopic ultrasound-guided pancreatic duct drainage and rendezvous technique: A single-center large case series
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عنوان ژورنال:
دوره 6 شماره
صفحات -
تاریخ انتشار 2018