Publication: Infected walled-off pancreatic necrosis following EUS-guided drainage successfully treated using multiple stents in different sites technique
Issued Date
2013-09-01
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ISSN
16620631
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2-s2.0-84893050099
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Mahidol University
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SCOPUS
Bibliographic Citation
Case Reports in Gastroenterology. Vol.7, No.3 (2013), 404-408
Suggested Citation
Varayu Prachayakul, Pojamana Phisalprapa, Pitulak Aswakul Infected walled-off pancreatic necrosis following EUS-guided drainage successfully treated using multiple stents in different sites technique. Case Reports in Gastroenterology. Vol.7, No.3 (2013), 404-408. doi:10.1159/000355347 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/32180
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Title
Infected walled-off pancreatic necrosis following EUS-guided drainage successfully treated using multiple stents in different sites technique
Abstract
Walled-off pancreatic necrosis (WOPN) is one of the most life-threatening complications of acute severe pancreatitis. Regarding its high mortality and morbidity without appropriate treatment, the drainage procedure is still the mainstay of the treatment for this condition. There are multiple drainage options for this event. To date, endoscopic drainage alone has not been adequate for this condition, while surgical drainage has been reported to have a high morbidity. Endoscopic drainage with pancreatic necrosectomy is the most effective and safe method, while endoscopic drainage with aggressive lavage is another acceptable treatment option. The procedural details have been described elsewhere in many studies. In this report, we describe an alternative technique of drainage by endoscopy alone, without aggressive lavage procedure, that yielded an acceptable outcome with an easier procedure. © 2013 S. Karger AG, Basel.