Utility of Fully Covered Esophageal Metal Stent in Percutaneous Endoscopic Necrosectomy.
10.15279/kpba.2015.20.2.88
- Author:
Nah Kyum LEE
1
;
Do Hyun PARK
;
Shinhee PARK
;
Suyeon PARK
;
Soomin JEUNG
;
Jin Sun OH
;
Bomi SEO
Author Information
1. Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. dhpark@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Pancreatitis;
Stent;
Necrosis;
Cholangiopancreatography;
Endoscopic retrograde
- MeSH:
Catheters;
Drainage;
Humans;
Mortality;
Necrosis;
Pancreatitis;
Stents*
- From:Korean Journal of Pancreas and Biliary Tract
2015;20(2):88-93
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Necrotizing pancreatitis is associated with high rates of morbidity and mortality. Managing necrotizing pancreatitis is challenging, and minimally invasive treatment modalities recently replaced traditional open necrosectomy. Percutaneous catheter drainage and endoscopic necrosectomy are now widely used because they are less invasive, safer, and can more effectively remove necrotic materials. Various methods and novel techniques have been introduced to manage walled-off necrosis. Herein, we report a case series of patients with necrotizing pancreatitis who were successfully treated using fully covered esophageal metal stent and endoscopic necrosectomy via the percutaneous approach. Percutaneous endoscopic necrosectomy using a fully covered esophageal stent is an effective endoscopic treatment for patients with walled-off necrosis that extends along both sides of the paracolic gutter, reduces the number of necrosectomy sessions, and improves disease status faster than conventional treatment.
