Clinical application of endoscopic ultrasound-guided new luminal metal stent placement for infected pancreatic necrosis (with video)
10.3760/cma.j.cn321463-20220501-00246
- VernacularTitle:内镜超声引导下新型管腔金属支架治疗感染性胰腺坏死的临床应用初探（含视频）
- Author:
Chao ZHANG
1
;
Hongzhang SHEN
;
Jianfeng YANG
;
Hangbin JIN
;
Qifeng LOU
;
Xiaofeng ZHANG
Author Information
1. 浙江中医药大学第四临床医学院，杭州 310006
- Keywords:
Pancreatic diseases;
Infected pancreatic necrosis;
Endoscopic ultrasound;
Stents;
Drainage;
Debridement
- From:
Chinese Journal of Digestive Endoscopy
2022;39(10):833-837
- CountryChina
- Language:Chinese
-
Abstract:
To evaluate the clinical efficacy and safety of Hot AXIOS, a novel luminal metal stent with a cautery system guided by endoscopic ultrasound, for the treatment of infected pancreatic necrosis (IPN), 5 cases of IPN treated with endoscopic ultrasound-guided Hot AXIOS placement in Hangzhou First People's Hospital from December 2021 to January 2022 were retrospectively analyzed. The results showed that all 5 cases successfully completed the treatment, with 8-21 minutes of the operation time. The symptoms of abdominal pain and bloating on the first day after operation were significantly relieved, and the abdominal CT showed that the walled-off necrosis was significantly reduced. After 2-9 times of direct endoscopic necrosectomy, supplemented by antibiotics, patient's temperature and blood inflammatory indexes returned to normal, the cavity was reduced and necrosis was removed. The Hot AXIOS stent was indwelled for 12-40 days and then removed. After 25-113 days of the follow-up, all patients survived without recurrence. Preliminary results suggest that endoscopic ultrasound-guided Hot AXIOS placement is safe and effective for the treatment of IPN.
