Combined EUS LAMS and Percutaneous Fully Covered SEMS-Guided Direct Endoscopic Necrosectomy (e-DEN + p-DEN) for Walled-Off Pancreatic Necrosis with Paracolic Extension
| Autor: | Ashish Gandhi, Mangesh Borkar, Harsh Bapaye, Rajendra Pujari, Amol Bapaye |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Journal of Digestive Endoscopy, Vol 12, Iss 04, Pp 242-244 (2021) |
| Druh dokumentu: | article |
| ISSN: | 0976-5042 0976-5050 |
| DOI: | 10.1055/s-0041-1741388 |
| Popis: | Management of infected lesser sac walled-off pancreatic necrosis (WOPN) is technically challenging and involves endoscopic ultrasound (EUS)-guided transmural drainage using either lumen-apposing metal stent (LAMS) or multiple plastic stents as the standard approach. A step-up approach—drainage followed by additional direct endoscopic necrosectomy (DEN) whenever required—has been a standard recommendation. Collections extending to the paracolic gutter are difficult to manage endoscopically and often require additional surgical intervention. In this video case, we describe a combined approach using EUS-guided LAMS and percutaneous fully covered self-expandable metal stent-guided DEN (e-DEN + p-DEN) for successful management of an infected lesser sac WOPN with paracolic extension. |
| Databáze: | Directory of Open Access Journals |
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