Endoscopic treatment of multilocular walled-off pancreatic necrosis with the multiple transluminal gateway technique
The development of minimally invasive techniques allowed access to the necrotic cavity through transperitoneal, retroperitoneal, transmural and transpapillary routes. The choice of access to walled-off pancreatic necrosis (WOPN) should depend not only on the spread of necrosis, but also on the exper...
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Format: | Article |
Language: | English |
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Termedia Publishing House
2017-06-01
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Series: | Videosurgery and Other Miniinvasive Techniques |
Subjects: | |
Online Access: | https://www.termedia.pl/Endoscopic-treatment-of-multilocular-walled-off-pancreatic-necrosis-with-the-multiple-transluminal-gateway-technique,42,30102,1,1.html |
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author | Mateusz Jagielski Marian Smoczyński Krystian Adrych |
author_facet | Mateusz Jagielski Marian Smoczyński Krystian Adrych |
author_sort | Mateusz Jagielski |
collection | DOAJ |
description | The development of minimally invasive techniques allowed access to the necrotic cavity through transperitoneal, retroperitoneal, transmural and transpapillary routes. The choice of access to walled-off pancreatic necrosis (WOPN) should depend not only on the spread of necrosis, but also on the experience of the clinical center. Herein we describe treatment of a patient with multilocular symptomatic walled-off pancreatic necrosis using minimally invasive techniques. The single transmural access (single transluminal gateway technique – SGT) to the necrotic collection of the patient was ineffective. The second gastrocystostomy was performed using the same minimally invasive technique as an extra way of access to the necrosis (multiple transluminal gateway technique – MTGT). In the described case the performance of the new technique consisting in endoscopic multiplexing transmural access (MTGT) was effective enough and led to complete recovery of the patient. |
first_indexed | 2024-04-12T20:42:44Z |
format | Article |
id | doaj.art-8c0188d652914a61a6eae325de041a66 |
institution | Directory Open Access Journal |
issn | 1895-4588 2299-0054 |
language | English |
last_indexed | 2024-04-12T20:42:44Z |
publishDate | 2017-06-01 |
publisher | Termedia Publishing House |
record_format | Article |
series | Videosurgery and Other Miniinvasive Techniques |
spelling | doaj.art-8c0188d652914a61a6eae325de041a662022-12-22T03:17:22ZengTermedia Publishing HouseVideosurgery and Other Miniinvasive Techniques1895-45882299-00542017-06-0112219920510.5114/wiitm.2017.6829830102Endoscopic treatment of multilocular walled-off pancreatic necrosis with the multiple transluminal gateway techniqueMateusz JagielskiMarian SmoczyńskiKrystian AdrychThe development of minimally invasive techniques allowed access to the necrotic cavity through transperitoneal, retroperitoneal, transmural and transpapillary routes. The choice of access to walled-off pancreatic necrosis (WOPN) should depend not only on the spread of necrosis, but also on the experience of the clinical center. Herein we describe treatment of a patient with multilocular symptomatic walled-off pancreatic necrosis using minimally invasive techniques. The single transmural access (single transluminal gateway technique – SGT) to the necrotic collection of the patient was ineffective. The second gastrocystostomy was performed using the same minimally invasive technique as an extra way of access to the necrosis (multiple transluminal gateway technique – MTGT). In the described case the performance of the new technique consisting in endoscopic multiplexing transmural access (MTGT) was effective enough and led to complete recovery of the patient.https://www.termedia.pl/Endoscopic-treatment-of-multilocular-walled-off-pancreatic-necrosis-with-the-multiple-transluminal-gateway-technique,42,30102,1,1.htmlwalled-off pancreatic necrosis acute pancreatitis endoscopic drainage transmural drainage |
spellingShingle | Mateusz Jagielski Marian Smoczyński Krystian Adrych Endoscopic treatment of multilocular walled-off pancreatic necrosis with the multiple transluminal gateway technique Videosurgery and Other Miniinvasive Techniques walled-off pancreatic necrosis acute pancreatitis endoscopic drainage transmural drainage |
title | Endoscopic treatment of multilocular walled-off pancreatic necrosis with the multiple transluminal gateway technique |
title_full | Endoscopic treatment of multilocular walled-off pancreatic necrosis with the multiple transluminal gateway technique |
title_fullStr | Endoscopic treatment of multilocular walled-off pancreatic necrosis with the multiple transluminal gateway technique |
title_full_unstemmed | Endoscopic treatment of multilocular walled-off pancreatic necrosis with the multiple transluminal gateway technique |
title_short | Endoscopic treatment of multilocular walled-off pancreatic necrosis with the multiple transluminal gateway technique |
title_sort | endoscopic treatment of multilocular walled off pancreatic necrosis with the multiple transluminal gateway technique |
topic | walled-off pancreatic necrosis acute pancreatitis endoscopic drainage transmural drainage |
url | https://www.termedia.pl/Endoscopic-treatment-of-multilocular-walled-off-pancreatic-necrosis-with-the-multiple-transluminal-gateway-technique,42,30102,1,1.html |
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