<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2341-4545</journal-id>
<journal-title><![CDATA[GE-Portuguese Journal of Gastroenterology]]></journal-title>
<abbrev-journal-title><![CDATA[GE Port J Gastroenterol]]></abbrev-journal-title>
<issn>2341-4545</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Gastrenterologia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2341-45452021000600425</article-id>
<article-id pub-id-type="doi">10.1159/000510025</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Endoscopic Retroperitoneal Necrosectomy for Infected Pancreatic Necrosis Using a Self-Expandable Metal Stent]]></article-title>
<article-title xml:lang="pt"><![CDATA[Necrosectomia retroperitoneal endoscópica para uma necrose pancreática infectada com a utilização de uma prótese metálica auto-expansível]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Patil]]></surname>
<given-names><![CDATA[Gaurav]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Maydeo]]></surname>
<given-names><![CDATA[Amit]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Dalal]]></surname>
<given-names><![CDATA[Ankit]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Iyer]]></surname>
<given-names><![CDATA[Arun]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[More]]></surname>
<given-names><![CDATA[Rajdeep]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Thakare]]></surname>
<given-names><![CDATA[Shivaji]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Gleneagles Global Hospital Baldota Institute of Digestive Sciences ]]></institution>
<addr-line><![CDATA[Mumbai ]]></addr-line>
<country>India</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>12</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>12</month>
<year>2021</year>
</pub-date>
<volume>28</volume>
<numero>6</numero>
<fpage>425</fpage>
<lpage>430</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2341-45452021000600425&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2341-45452021000600425&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2341-45452021000600425&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: 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&#8217;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.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo: A necrose pancreática infectada walled-off (WOPN) é uma complicação grave da pancreatite aguda (PA). A cirurgia nestes doentes críticos pode associar-se a um aumento da morbimortalidade. Assim, técnicas minimamente invasivas surgiram como alternativa à cirurgia. Reportamos um caso de PA grave com WOPN que foi tratada de forma percutânea com um endoscópio flexível através de uma prótese metálica auto-expansível usando uma abordagem totalmente retroperitoneal. A necrosectomia retroperitoneal endoscópica direta (p-DEN) usando a via retroperitoneal melhorou os parâmetros do doente significativamente com resolução da sépsis sem necessidade de cirurgia. p-DEN usando um endoscópico flexível que passa através uma prótese metálica de grande diâmetro parece ser uma técnica promissora em alguns doentes com WOPN, podendo ser utilizada em doentes que não são candidatos ideais para uma drenagem transmural ou cirúrgica.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Walled-off pancreatic necrosis]]></kwd>
<kwd lng="en"><![CDATA[Retroperitoneal necrosectomy]]></kwd>
<kwd lng="en"><![CDATA[Self-expandable]]></kwd>
<kwd lng="en"><![CDATA[Metallic stent]]></kwd>
<kwd lng="pt"><![CDATA[Necrosectomia retroperitoneal]]></kwd>
<kwd lng="pt"><![CDATA[Prótese metálica auto-expansível]]></kwd>
<kwd lng="pt"><![CDATA[Necrose pancreática walled-off]]></kwd>
</kwd-group>
</article-meta>
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