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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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
S. Karger AG
2013
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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 |
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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 |
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