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KMID : 1188320100040010140
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Gut and Liver
2010 Volume.4 No. 1 p.140 ~ p.145
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EUS-Guided Multitransgastric Endoscopic Necrosectomy for Infected Pancreatic Necrosis with Noncontagious Retroperitoneal and Peritoneal Extension
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Koo Ja-Eun
Park Do-Hyun
Oh Joo
Lee Young-Hee
Moon Sung-Hoon
Lee Sang-Soo
Seo Dong-Wan
Lee Sung-Goo
Kim Myung-Hwan
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Abstract
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Endoscopic necrosectomy was introduced as a safe and effective treatment modality for infected pancreatic necrosis. Although there have been many reports of endoscopic drainage of retroperitoneal pancreatic necrosis, the optimal endoscopic management of pancreatic necrosis extending to the noncontagious retroperitoneal and peritoneal spaces has yet to be established. We report herein a patient with infected pancreatic necrosis with noncontagious retroperitoneal and peritoneal extension who was treated successfully by endoscopic ultrasound (EUS)-guided multiple cystogastrostomy and endoscopic necrosectomy. EUS- guided multitransgastric necrosectomy may be technically feasible and effective for the management of infected pancreatic necrosis with noncontagious retroperitoneal and peritoneal extension that demonstrates suitable anatomy. Further studies to assess the efficacy and safety of this technique are needed before its routine clinical use can be recommended.
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KEYWORD
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Infected pancreatic necrosis, Pancreatitis, Endoscopic necrosectomy, Endoscopic ultrasound, Transmural drainage
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