Endoscopic Retroperitoneal Necrosectomy for Infected Pancreatic Necrosis Using a Self-Expandable Metal Stent
Infected walled-off pancreatic necrosis (WOPN) is a severe complication of acute pancreatitis. Surgery in these critically ill patients can be associated with increased morbidity and mortality. Hence, minimally invasive therapies have emerged as an alternative to surgery. Herein, we report a case of...
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doaj-af26aa3b055249ed82ad8ae02fcefa832021-02-19T05:58:23ZengKarger PublishersGE: Portuguese Journal of Gastroenterology2341-45452387-19542021-01-011610.1159/000510025510025Endoscopic Retroperitoneal Necrosectomy for Infected Pancreatic Necrosis Using a Self-Expandable Metal StentGaurav PatilAmit MaydeoAnkit DalalArun IyerRajdeep MoreShivaji ThakareInfected walled-off pancreatic necrosis (WOPN) is a severe complication of acute pancreatitis. Surgery in these critically ill patients can be associated with increased morbidity and mortality. Hence, minimally invasive therapies have emerged as an alternative to surgery. Herein, we report a case of severe acute pancreatitis with WOPN which was treated percutaneously with a flexible endoscope through an esophageal self-expanding metal stent using a total retroperitoneal approach. Percutaneous direct endoscopic necrosectomy (p-DEN) using the retroperitoneal route improved the patient’s parameters dramatically with resolution of sepsis without the need for surgery. p-DEN using a flexible endoscope passed through a large bore metal stent shows promise in selected patients with WOPN and can be used in patients who are not ideal candidates for transmural or surgical drainage.https://www.karger.com/Article/FullText/510025walled-off pancreatic necrosisretroperitoneal necrosectomyself-expandablemetallic stent |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Gaurav Patil Amit Maydeo Ankit Dalal Arun Iyer Rajdeep More Shivaji Thakare |
spellingShingle |
Gaurav Patil Amit Maydeo Ankit Dalal Arun Iyer Rajdeep More Shivaji Thakare Endoscopic Retroperitoneal Necrosectomy for Infected Pancreatic Necrosis Using a Self-Expandable Metal Stent GE: Portuguese Journal of Gastroenterology walled-off pancreatic necrosis retroperitoneal necrosectomy self-expandable metallic stent |
author_facet |
Gaurav Patil Amit Maydeo Ankit Dalal Arun Iyer Rajdeep More Shivaji Thakare |
author_sort |
Gaurav Patil |
title |
Endoscopic Retroperitoneal Necrosectomy for Infected Pancreatic Necrosis Using a Self-Expandable Metal Stent |
title_short |
Endoscopic Retroperitoneal Necrosectomy for Infected Pancreatic Necrosis Using a Self-Expandable Metal Stent |
title_full |
Endoscopic Retroperitoneal Necrosectomy for Infected Pancreatic Necrosis Using a Self-Expandable Metal Stent |
title_fullStr |
Endoscopic Retroperitoneal Necrosectomy for Infected Pancreatic Necrosis Using a Self-Expandable Metal Stent |
title_full_unstemmed |
Endoscopic Retroperitoneal Necrosectomy for Infected Pancreatic Necrosis Using a Self-Expandable Metal Stent |
title_sort |
endoscopic retroperitoneal necrosectomy for infected pancreatic necrosis using a self-expandable metal stent |
publisher |
Karger Publishers |
series |
GE: Portuguese Journal of Gastroenterology |
issn |
2341-4545 2387-1954 |
publishDate |
2021-01-01 |
description |
Infected walled-off pancreatic necrosis (WOPN) is a severe complication of acute pancreatitis. Surgery in these critically ill patients can be associated with increased morbidity and mortality. Hence, minimally invasive therapies have emerged as an alternative to surgery. Herein, we report a case of severe acute pancreatitis with WOPN which was treated percutaneously with a flexible endoscope through an esophageal self-expanding metal stent using a total retroperitoneal approach. Percutaneous direct endoscopic necrosectomy (p-DEN) using the retroperitoneal route improved the patient’s parameters dramatically with resolution of sepsis without the need for surgery. p-DEN using a flexible endoscope passed through a large bore metal stent shows promise in selected patients with WOPN and can be used in patients who are not ideal candidates for transmural or surgical drainage. |
topic |
walled-off pancreatic necrosis retroperitoneal necrosectomy self-expandable metallic stent |
url |
https://www.karger.com/Article/FullText/510025 |
work_keys_str_mv |
AT gauravpatil endoscopicretroperitonealnecrosectomyforinfectedpancreaticnecrosisusingaselfexpandablemetalstent AT amitmaydeo endoscopicretroperitonealnecrosectomyforinfectedpancreaticnecrosisusingaselfexpandablemetalstent AT ankitdalal endoscopicretroperitonealnecrosectomyforinfectedpancreaticnecrosisusingaselfexpandablemetalstent AT aruniyer endoscopicretroperitonealnecrosectomyforinfectedpancreaticnecrosisusingaselfexpandablemetalstent AT rajdeepmore endoscopicretroperitonealnecrosectomyforinfectedpancreaticnecrosisusingaselfexpandablemetalstent AT shivajithakare endoscopicretroperitonealnecrosectomyforinfectedpancreaticnecrosisusingaselfexpandablemetalstent |
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