Endoscopic necrosectomy through a self-expandable metallic stent placed percutaneously for walled-off pancreatic necrosis
Walled-off pancreatic necrosis (WOPN) is defined as encapsulated necrotic tissue after severe acute pancreatitis. Treatment strategies for WOPN can be challenging. Although open surgical necrosectomy is the standard treatment for WOPN, it is associated with high rates of morbidity and mortality. End...
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| Format: | Article |
| Language: | English |
| Published: |
Society of Gastrointestinal Intervention
2020-07-01
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| Series: | International Journal of Gastrointestinal Intervention |
| Subjects: | |
| Online Access: | https://doi.org/10.18528/ijgii200015 |
| _version_ | 1828467258458898432 |
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| author | Yozo Sato Kazuo Hara Nozomi Okuno Shinichi Murata Takaaki Hasegawa Hiroyuki Morinaga Yuki Kimbara Yugo Imai Hidekazu Yamaura Yoshitaka Inaba |
| author_facet | Yozo Sato Kazuo Hara Nozomi Okuno Shinichi Murata Takaaki Hasegawa Hiroyuki Morinaga Yuki Kimbara Yugo Imai Hidekazu Yamaura Yoshitaka Inaba |
| author_sort | Yozo Sato |
| collection | DOAJ |
| description | Walled-off pancreatic necrosis (WOPN) is defined as encapsulated necrotic tissue after severe acute pancreatitis. Treatment strategies for WOPN can be challenging. Although open surgical necrosectomy is the standard treatment for WOPN, it is associated with high rates of morbidity and mortality. Endoscopic necrosectomy, introduced recently, is a treatment option that produces lower rates of morbidity than does open surgery. We report a case of severe WOPN that could not be treated with the usual procedures. Although endoscopic necrosectomy of the left subphrenic and prepancreatic spaces was technically impossible, these spaces could be percutaneously drained. Finally, sufficient drainage of these spaces was achieved with endoscopic necrosectomy through the internal lumen of the self-expandable metallic stent placed percutaneously. This procedure was performed by an endoscopist and an interventional radiologist, and the multidisciplinary approach was useful. |
| first_indexed | 2024-12-11T04:03:35Z |
| format | Article |
| id | doaj.art-ca99a4d4ff3c4be8be99f4564ef2804c |
| institution | Directory Open Access Journal |
| issn | 2636-0004 |
| language | English |
| last_indexed | 2024-12-11T04:03:35Z |
| publishDate | 2020-07-01 |
| publisher | Society of Gastrointestinal Intervention |
| record_format | Article |
| series | International Journal of Gastrointestinal Intervention |
| spelling | doaj.art-ca99a4d4ff3c4be8be99f4564ef2804c2022-12-22T01:21:35ZengSociety of Gastrointestinal InterventionInternational Journal of Gastrointestinal Intervention2636-00042020-07-019312813110.18528/ijgii20001510.ijgii200015Endoscopic necrosectomy through a self-expandable metallic stent placed percutaneously for walled-off pancreatic necrosisYozo Sato0Kazuo Hara1Nozomi Okuno2Shinichi Murata3Takaaki Hasegawa4Hiroyuki Morinaga5Yuki Kimbara6Yugo Imai7Hidekazu Yamaura8Yoshitaka Inaba9Department of Diagnostic and Interventional Radiology, Aichi Cancer Center Hospital, Nagoya, JapanDepartment of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, JapanDepartment of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, JapanDepartment of Diagnostic and Interventional Radiology, Aichi Cancer Center Hospital, Nagoya, JapanDepartment of Diagnostic and Interventional Radiology, Aichi Cancer Center Hospital, Nagoya, JapanDepartment of Diagnostic and Interventional Radiology, Aichi Cancer Center Hospital, Nagoya, JapanDepartment of Diagnostic and Interventional Radiology, Aichi Cancer Center Hospital, Nagoya, JapanDepartment of Diagnostic and Interventional Radiology, Aichi Cancer Center Hospital, Nagoya, JapanDepartment of Diagnostic and Interventional Radiology, Aichi Cancer Center Hospital, Nagoya, JapanDepartment of Diagnostic and Interventional Radiology, Aichi Cancer Center Hospital, Nagoya, JapanWalled-off pancreatic necrosis (WOPN) is defined as encapsulated necrotic tissue after severe acute pancreatitis. Treatment strategies for WOPN can be challenging. Although open surgical necrosectomy is the standard treatment for WOPN, it is associated with high rates of morbidity and mortality. Endoscopic necrosectomy, introduced recently, is a treatment option that produces lower rates of morbidity than does open surgery. We report a case of severe WOPN that could not be treated with the usual procedures. Although endoscopic necrosectomy of the left subphrenic and prepancreatic spaces was technically impossible, these spaces could be percutaneously drained. Finally, sufficient drainage of these spaces was achieved with endoscopic necrosectomy through the internal lumen of the self-expandable metallic stent placed percutaneously. This procedure was performed by an endoscopist and an interventional radiologist, and the multidisciplinary approach was useful.https://doi.org/10.18528/ijgii200015pancreatitisself-expandable metallic stents |
| spellingShingle | Yozo Sato Kazuo Hara Nozomi Okuno Shinichi Murata Takaaki Hasegawa Hiroyuki Morinaga Yuki Kimbara Yugo Imai Hidekazu Yamaura Yoshitaka Inaba Endoscopic necrosectomy through a self-expandable metallic stent placed percutaneously for walled-off pancreatic necrosis International Journal of Gastrointestinal Intervention pancreatitis self-expandable metallic stents |
| title | Endoscopic necrosectomy through a self-expandable metallic stent placed percutaneously for walled-off pancreatic necrosis |
| title_full | Endoscopic necrosectomy through a self-expandable metallic stent placed percutaneously for walled-off pancreatic necrosis |
| title_fullStr | Endoscopic necrosectomy through a self-expandable metallic stent placed percutaneously for walled-off pancreatic necrosis |
| title_full_unstemmed | Endoscopic necrosectomy through a self-expandable metallic stent placed percutaneously for walled-off pancreatic necrosis |
| title_short | Endoscopic necrosectomy through a self-expandable metallic stent placed percutaneously for walled-off pancreatic necrosis |
| title_sort | endoscopic necrosectomy through a self expandable metallic stent placed percutaneously for walled off pancreatic necrosis |
| topic | pancreatitis self-expandable metallic stents |
| url | https://doi.org/10.18528/ijgii200015 |
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