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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Main Authors: Mateusz Jagielski, Marian Smoczyński, Krystian Adrych
Format: Article
Language:English
Published: Termedia Publishing House 2017-06-01
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.
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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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