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GE-Portuguese Journal of Gastroenterology
versão impressa ISSN 2341-4545versão On-line ISSN 2387-1954
Resumo
PATIL, Gaurav et al. Endoscopic Retroperitoneal Necrosectomy for Infected Pancreatic Necrosis Using a Self-Expandable Metal Stent. GE Port J Gastroenterol [online]. 2021, vol.28, n.6, pp.425-430. Epub 30-Mar-2022. ISSN 2341-4545. https://doi.org/10.1159/000510025.
Infected walled-off pancreatic necrosis (WOPN) is a severe complication of acute pancreatitis. Surgery in these critically ill patients can be associated with increased morbidity and mortality. Hence, minimally invasive therapies have emerged as an alternative to surgery. Herein, we report a case of severe acute pancreatitis with WOPN which was treated percutaneously with a flexible endoscope through an esophageal self-expanding metal stent using a total retroperitoneal approach. Percutaneous direct endoscopic necrosectomy (p-DEN) using the retroperitoneal route improved the patient’s parameters dramatically with resolution of sepsis without the need for surgery. p-DEN using a flexible endoscope passed through a large bore metal stent shows promise in selected patients with WOPN and can be used in patients who are not ideal candidates for transmural or surgical drainage.
Palavras-chave : Walled-off pancreatic necrosis; Retroperitoneal necrosectomy; Self-expandable; Metallic stent.