Wernicke Encephalopathy after Endoscopic Necrosectomy in Acute Necrotizing Pancreatitis with WOPN: A Case Report.
10.15279/kpba.2016.21.1.34
- Author:
Minsu KIM
1
;
Eun Kyung KANG
;
Su Young KIM
;
Ji Yeon KIM
;
Song Mi MOON
;
Yiel Hea SEO
;
Jae Hee CHO
;
Yoon Soo PARK
Author Information
1. Department of Internal Medicine, Gachon University Gil Medical Center, Incheon, Korea. ysparkok2@gmail.com
- Publication Type:Case Report
- Keywords:
Pancreatitis;
Acute necrotizing;
Endoscopic necrosectomy;
Wernicke encephalopathy;
WOPN
- MeSH:
Gait Ataxia;
Necrosis;
Pancreatitis;
Pancreatitis, Acute Necrotizing*;
Parenteral Nutrition;
Rare Diseases;
Thiamine Deficiency;
Wernicke Encephalopathy*;
Wounds and Injuries
- From:Korean Journal of Pancreas and Biliary Tract
2016;21(1):34-39
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Infected walled-off pancreatic necrosis (WOPN) is dangerous complication of acute pancreatitis. Open necrosectomy and post-operative irrigation of necrotic cavity have been conventional treatment for infected pancreatic necrosis, however, recently minimally invasive techniques such as endoscopic necrosectomy has been regarded as preferred treatment method for infected WOPN. Endoscopic necrosectomy provides a targeted approach with a reduction in the systemic inflammatory response and avoidance of wound complications. Non alcohol related Wernicke encephalopathy is rare disease caused by thiamine deficiency due to intravenous feeding, and presented an encephalopathy, oculomotor dysfunction, gait ataxia. We report herein a case of Wernicke encephalopathy after successful endoscopic necrosectomy for infected WOPN.
