Endoscopic treatment of extensive walled-off pancreatic necrosis with the use of single transluminal gateway transcystic multiple drainage (SGTMD)

• Authors: Mateusz Jagielski , Marian Smoczyński , Krystian Adrych

Abstracts

EN

The paper presents a description of the course of severe acute necrotizing pancreatitis as well as endoscopic treatment of an extensive infected walled-off pancreatic necrosis (WOPN), being the consequence of acute pancreatitis. The basic strategy of interventional treatment was to extend access to necrotic areas with use of single transluminal gateway transcystic multiple drainage (SGTMD). Endoscopic transmural access (transgastric) was applied. Endoscopic necrosectomy under fluoroscopic guidance was repeated nine times during active transluminal drainage. Endotherapy with use of SGTMD, as well as endoscopic necrosectomy became a successful and safe technique of treatment. Moreover, the paper proved the efficiency of endotherapy in the treatment of complete pancreatic duct disruption in the course of acute necrotizing pancreatitis.

Keywords

EN

acute necrotizing pancreatitis; walled-off pancreatic necrosis; endoscopic drainage; endoscopic necrosectomy

• Publisher: Index Copernicus International
• Journal: Polish Journal of Surgery
• Year: 2018
• Volume: 90(2)
• Pages: 54-59

Dates

published

2018-04-11

Contributors

author

Mateusz Jagielski

author

Marian Smoczyński

author

Krystian Adrych

Identifiers

DOI

10.5604/01.3001.0011.7494