Cargando…

Infected Walled-Off Pancreatic Necrosis following EUS-Guided Drainage Successfully Treated Using Multiple Stents in Different Sites Technique

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 drainag...

Descripción completa

Detalles Bibliográficos
Autores principales: Prachayakul, Varayu, Phisalprapa, Pojamana, Aswakul, Pitulak
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3806679/
https://www.ncbi.nlm.nih.gov/pubmed/24163653
http://dx.doi.org/10.1159/000355347
_version_ 1782288409897730048
author Prachayakul, Varayu
Phisalprapa, Pojamana
Aswakul, Pitulak
author_facet Prachayakul, Varayu
Phisalprapa, Pojamana
Aswakul, Pitulak
author_sort Prachayakul, Varayu
collection PubMed
description 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.
format Online
Article
Text
id pubmed-3806679
institution National Center for Biotechnology Information
language English
publishDate 2013
publisher S. Karger AG
record_format MEDLINE/PubMed
spelling pubmed-38066792013-10-25 Infected Walled-Off Pancreatic Necrosis following EUS-Guided Drainage Successfully Treated Using Multiple Stents in Different Sites Technique Prachayakul, Varayu Phisalprapa, Pojamana Aswakul, Pitulak Case Rep Gastroenterol Published online: September, 2013 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. S. Karger AG 2013-09-10 /pmc/articles/PMC3806679/ /pubmed/24163653 http://dx.doi.org/10.1159/000355347 Text en Copyright © 2013 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article licensed under the terms of the Creative Commons Attribution-NonCommercial 3.0 Unported license (CC BY-NC) (www.karger.com/OA-license), applicable to the online version of the article only. Users may download, print and share this work on the Internet for noncommercial purposes only, provided the original work is properly cited, and a link to the original work on http://www.karger.com and the terms of this license are included in any shared versions.
spellingShingle Published online: September, 2013
Prachayakul, Varayu
Phisalprapa, Pojamana
Aswakul, Pitulak
Infected Walled-Off Pancreatic Necrosis following EUS-Guided Drainage Successfully Treated Using Multiple Stents in Different Sites Technique
title Infected Walled-Off Pancreatic Necrosis following EUS-Guided Drainage Successfully Treated Using Multiple Stents in Different Sites Technique
title_full Infected Walled-Off Pancreatic Necrosis following EUS-Guided Drainage Successfully Treated Using Multiple Stents in Different Sites Technique
title_fullStr Infected Walled-Off Pancreatic Necrosis following EUS-Guided Drainage Successfully Treated Using Multiple Stents in Different Sites Technique
title_full_unstemmed Infected Walled-Off Pancreatic Necrosis following EUS-Guided Drainage Successfully Treated Using Multiple Stents in Different Sites Technique
title_short Infected Walled-Off Pancreatic Necrosis following EUS-Guided Drainage Successfully Treated Using Multiple Stents in Different Sites Technique
title_sort infected walled-off pancreatic necrosis following eus-guided drainage successfully treated using multiple stents in different sites technique
topic Published online: September, 2013
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3806679/
https://www.ncbi.nlm.nih.gov/pubmed/24163653
http://dx.doi.org/10.1159/000355347
work_keys_str_mv AT prachayakulvarayu infectedwalledoffpancreaticnecrosisfollowingeusguideddrainagesuccessfullytreatedusingmultiplestentsindifferentsitestechnique
AT phisalprapapojamana infectedwalledoffpancreaticnecrosisfollowingeusguideddrainagesuccessfullytreatedusingmultiplestentsindifferentsitestechnique
AT aswakulpitulak infectedwalledoffpancreaticnecrosisfollowingeusguideddrainagesuccessfullytreatedusingmultiplestentsindifferentsitestechnique