Description of minimally invasive methods of treatment of walled-off pancreatic necrosis (WOPN)- the use of „step up approach” in patient with pancreatic n
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The study presents description of treatment of patients with walled-off pancreatic necrosis (WOPN). The strategy of treatment was to extend access to necrotic areas (“step-up approach”). Applied endoscopic transmural access (transgastric) and percutaneous access (transperitoneal). The endoscopic necrosectomy under fluoroscopic guidance was repeated four times during active transluminal drainage. Endoscopic treatment with percutaneous drainage gave very beneficial clinical effects.
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