Many patients with walled-off pancreatic necrosis (WON) require debridement following minimally invasive drainage. This often entails serial procedures with cumulative expense and risk. These authors present the results of a prospective multicenter trial of necrosectomy performed with the use of a novel motorized debridement system. The trial included 30 adult patients with WON collections measuring 6 to 22 cm (median, 11.1 cm maximal dimension) and containing >30% (median, 75%) solid material. General anesthesia or monitored anesthesia care was used in 77% and 23% of procedures, respectively. <\/p>\n\n\n\n
Complete debridement was accomplished during one session in 15 patients (50%) and within 2 sessions in 20 patients (range, 1-7 procedures; median, 1.5 procedures). The number of interventions correlated with the initial volume of WON. One patient completely failed necrosectomy with the study device and was converted to standard therapy after two procedures. Nine serious adverse events and 11 nonserious events occurred in 10 patients, including 5 events possibly related to the necrosectomy procedures but none overtly related to the device.<\/p>\n","protected":false},"excerpt":{"rendered":"
Many patients with walled-off pancreatic necrosis (WON) require debridement following minimally invasive drainage. This often entails serial procedures with cumulative expense and risk. These authors present the results of a prospective multicenter trial of necrosectomy performed with the use of a novel motorized debridement system. The trial included 30 adult patients with WON collections measuring … Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,67],"tags":[2128,3058,3057,1326],"class_list":["post-11239","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-bauchspeicheldruese-pankreas","tag-pancreatobiliary","tag-severe-necrotizing-pancreatitis","tag-walled-off-pancreatic-necrosis","tag-won"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/11239","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=11239"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=11239"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=11239"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}