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KMID : 0985520150200020088
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Korean Journal of Pancreas and Biliary Tract
2015 Volume.20 No. 2 p.88 ~ p.93
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Utility of Fully Covered Esophageal Metal Stent in Percutaneous Endoscopic Necrosectomy
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Lee Nah-Kyum
Park Do-Hyun
Park Shin-Hee
Park Su-Yeon
Jeung Soo-Min
Oh Jin-Sun
Seo Bo-Mi
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Abstract
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Necrotizing pancreatitis is associated with high rates of morbidity and mortality. Managing necrotizing pancreatitis is challenging, and minimally invasive treatment modalities recently replaced traditional open necrosectomy. Percutaneous catheter drainage and endoscopic necrosectomy are now widely used because they are less invasive, safer, and can more effectively remove necrotic materials. Various methods and novel techniques have been introduced to manage walled-off necrosis. Herein, we report a case series of patients with necrotizing pancreatitis who were successfully treated using fully covered esophageal metal stent and endoscopic necrosectomy via the percutaneous approach. Percutaneous endoscopic necrosectomy using a fully covered esophageal stent is an effective endoscopic treatment for patients with walled-off necrosis that extends along both sides of the paracolic gutter, reduces the number of necrosectomy sessions, and improves disease status faster than conventional treatment.
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KEYWORD
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Pancreatitis, Stent, Necrosis, Cholangiopancreatography, Endoscopic retrograde
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