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.