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CC BY-NC-ND 4.0 · Endosc Int Open 2023; 11(06): E618-E622
DOI: 10.1055/a-2095-0272
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EUS-guided transcolonic drainage and necrosectomy in walled-off necrosis: a retrospective, single-center case series

Mohamed Ebrahim 
1   Pancreatitis Centre East, Gastrounit, Copenhagen University Hospital - Amager and Hvidovre, Hvidovre, Denmark, Hvidovre Hospital, Hvidovre, Denmark (Ringgold ID: RIN53137)
,
Srdan Novovic 
1   Pancreatitis Centre East, Gastrounit, Copenhagen University Hospital - Amager and Hvidovre, Hvidovre, Denmark, Hvidovre Hospital, Hvidovre, Denmark (Ringgold ID: RIN53137)
2   Department of Clinical Medicine, University of Copenhagen, Kobenhavn, Denmark (Ringgold ID: RIN4321)
,
Palle Nordblad Schmidt 
1   Pancreatitis Centre East, Gastrounit, Copenhagen University Hospital - Amager and Hvidovre, Hvidovre, Denmark, Hvidovre Hospital, Hvidovre, Denmark (Ringgold ID: RIN53137)
,
Erik Feldager Hansen 
1   Pancreatitis Centre East, Gastrounit, Copenhagen University Hospital - Amager and Hvidovre, Hvidovre, Denmark, Hvidovre Hospital, Hvidovre, Denmark (Ringgold ID: RIN53137)
,
John Gásdal Karstensen 
1   Pancreatitis Centre East, Gastrounit, Copenhagen University Hospital - Amager and Hvidovre, Hvidovre, Denmark, Hvidovre Hospital, Hvidovre, Denmark (Ringgold ID: RIN53137)
2   Department of Clinical Medicine, University of Copenhagen, Kobenhavn, Denmark (Ringgold ID: RIN4321)
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Abstract

Background and study aims Transgastric endoscopic ultrasound (EUS)-guided drainage and, if needed, necrosectomy is the preferred treatment in patients with pancreatic walled-off necrosis. EUS-guided transcolonic or transrectal drainage and necrosectomy may serve as a minimally invasive alternative in cases in which transgastric or percutaneous drainage is either impossible or fails to secure sufficient drainage. In this paper, we retrospectively evaluated the feasibility, safety, and efficacy of the treatment. We included nine patients and found a technical success rate of 100%, clinical success in 89%, and one adverse event (11%). Transrectal/transcolonic endoscopic necrosectomy was needed in seven patients (78%).



Publication History

Received: 02 March 2023

Accepted after revision: 11 May 2023

Accepted Manuscript online:
16 May 2023

Article published online:
29 June 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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Comment to this article:

Endoscopy International Open – recently publishedEndoscopy 2023; 55(09): 886-886
DOI: 10.1055/a-2113-2502

 

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