Cargando…
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...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Termedia Publishing House
2017
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5502345/ https://www.ncbi.nlm.nih.gov/pubmed/28694909 http://dx.doi.org/10.5114/wiitm.2017.68298 |
_version_ | 1783248939133173760 |
---|---|
author | Jagielski, Mateusz Smoczyński, Marian Adrych, Krystian |
author_facet | Jagielski, Mateusz Smoczyński, Marian Adrych, Krystian |
author_sort | Jagielski, Mateusz |
collection | PubMed |
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. |
format | Online Article Text |
id | pubmed-5502345 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Termedia Publishing House |
record_format | MEDLINE/PubMed |
spelling | pubmed-55023452017-07-10 Endoscopic treatment of multilocular walled-off pancreatic necrosis with the multiple transluminal gateway technique Jagielski, Mateusz Smoczyński, Marian Adrych, Krystian Wideochir Inne Tech Maloinwazyjne Case Report 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. Termedia Publishing House 2017-06-13 2017-06 /pmc/articles/PMC5502345/ /pubmed/28694909 http://dx.doi.org/10.5114/wiitm.2017.68298 Text en Copyright: © 2017 Fundacja Videochirurgii http://creativecommons.org/licenses/by-nc-sa/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) License, allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license. |
spellingShingle | Case Report Jagielski, Mateusz Smoczyński, Marian Adrych, Krystian Endoscopic treatment of multilocular walled-off pancreatic necrosis with the multiple transluminal gateway technique |
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 | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5502345/ https://www.ncbi.nlm.nih.gov/pubmed/28694909 http://dx.doi.org/10.5114/wiitm.2017.68298 |
work_keys_str_mv | AT jagielskimateusz endoscopictreatmentofmultilocularwalledoffpancreaticnecrosiswiththemultipletransluminalgatewaytechnique AT smoczynskimarian endoscopictreatmentofmultilocularwalledoffpancreaticnecrosiswiththemultipletransluminalgatewaytechnique AT adrychkrystian endoscopictreatmentofmultilocularwalledoffpancreaticnecrosiswiththemultipletransluminalgatewaytechnique |