Endoscopic therapy of pancreatic fluid collections caused by severe necrotic pancreatitis
This video demonstrate the drainage of pancreatic fluid collection caused by severe necrotic pancreatitis. A hot-axios-stent is used for drainage.
Patient with large amount of necrotic content (walled-off-necrosis) in the pancreatic cyst. Endoscopic necrosectomy after placement of the hot-axios-stent.
Complication 1: GI-Bleeding from the cardia due to laceration by the axios-stent. Removal of the stent and placement of two plastic-stents.
Complication 2: Bleeding from the cystic wall due to necrosectomy.
Drainage can also be performed initially with plastic stents, especially if there are no necrosis in the cyst.