Endoscopic therapy of pancreatic fluid collections caused by severe necrotic pancreatitis
Pancreatitis can cause various severe complications such as acute fluid collections with superinfected necrotic content requiring drainage and removal of necrotic debris. Here we demonstrate gastrocystic drainage with subsequent necrosectomy by applying a dedicated self-expanding metal-stent – the so-called hot-axios-stent. The whole procedure is done under EUS-control.
Sequenzen:
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.
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