Direct Endoscopic Necrosectomy: Timing and Technique [PDF]
Medicina (Lithuania), 2021 Walled-off pancreatic necrosis (WOPN) is one of the local complications of acute pancreatitis (AP). Several interventional techniques have been developed over the last few years. The purpose of this narrative review is to explore such methodologies, with
Saverio Bellizzi +2 more
exaly +5 more sources
EUS-guided drainage using lumen apposing metal stent and percutaneous endoscopic necrosectomy as dual approach for the management of complex walled-off necrosis: a case report and a review of the literature [PDF]
World Journal of Emergency Surgery, 2021 Background Endoscopic ultrasound-guided drainage is suggested as the first approach in the management of symptomatic and complex walled-off pancreatic necrosis.
Cecilia Binda +9 more
doaj +3 more sources
A Rare but Life-Threatening Complication of Direct Endoscopic Necrosectomy: Tension Pneumoperitoneum With Pneumothorax and Hypercapnia due to Walled-Off Necrosis Rupture [PDF]
Case Reports in Gastrointestinal MedicineEndoscopic ultrasonography (EUS)–guided drainage followed by direct endoscopic necrosectomy (DEN) is widely used as a minimally invasive treatment for walled-off necrosis (WON).
Yasuo Otsuka +7 more
doaj +3 more sources
Multimodal necrosectomy with full combined endoscopic necrosectomy in the management of acute necrotizing pancreatitis [PDF]
Therapeutic Advances in Gastrointestinal Endoscopy, 2023 Transgastric and transduodenal endoscopic drainages and necrosectomy are minimally invasive and effective way for the treatment of infected necrosis in the setting of acute pancreatitis (AP), but are limited in case of large and distant collections or in
S. Ouazzani +3 more
doaj +2 more sources
Percutaneous endoscopic necrosectomy (PEN) for treatment of necrotizing pancreatitis: a systematic review and meta-analysis [PDF]
Endoscopy International Open, 2023 Background and study aims Endoscopic necrosectomy is limited by the proximity of necrosis to the gastrointestinal tract. Percutaneous endoscopic necrosectomy (PEN) is a minimally invasive endoscopic method of percutaneous debridement.
Mihajlo Gjeorgjievski +8 more
doaj +2 more sources
A case of walled‐off necrosis extending into the pelvic cavity successfully treated by endoscopic necrosectomy using a lumen‐apposing metal stent [PDF]
DEN Open, 2022 A 31‐year‐old man developed massive walled‐off necrosis extending into the pelvic cavity following severe acute alcoholic pancreatitis. Endoscopic ultrasound‐guided fistula drainage was performed using a lumen‐apposing metal stent, but this was ...
Makoto Morita +7 more
doaj +2 more sources
Direct endoscopic necrosectomy in infected pancreatic necrosis using lumen-apposing metal stents: Early intervention does not compromise outcome [PDF]
Endoscopy International Open, 2021 Background and study aims Infection of pancreatic necrosis is a dreaded complication requiring an intervention. Nevertheless, the optimal timing of the first intervention is unclear, and consensus data are sparse.
David Albers +4 more
doaj +2 more sources
Preliminary report on the safety and utility of a novel automated mechanical endoscopic tissue resection tool for endoscopic necrosectomy: a case series [PDF]
Endoscopy International Open, 2020 Background and study aims Endoscopic drainage of walled-off necrosis and subsequent endoscopic necrosectomy has been shown to be an effective step-up management strategy in patients with acute necrotizing pancreatitis.
S. E. van der Wiel +6 more
doaj +2 more sources
Postponed endoscopic necrosectomy results in a lower rate of additional intervention for infected walled-off necrosis [PDF]
Scientific ReportsAlthough endoscopic necrosectomy (EN) is more frequently used to manage walled-off necrosis (WON), there is still debate over how much time should pass between the initial stent placement and the first necrosectomy.
Songting Wu +6 more
doaj +2 more sources
Standardized approach to removal of lumen apposing metal stents following endoscopic necrosectomy: one size does not fit all [PDF]
Therapeutic Advances in GastroenterologyBackground: Walled-off necrosis (WON) is a sequela of acute necrotizing pancreatitis preferentially managed with lumen apposing metal stents (LAMS). Adverse events including buried stent syndrome and bleeding have been associated with a longer duration ...
Robert Dorrell +4 more
doaj +2 more sources