Endoscopy 2020; 52(S 01): S291
DOI: 10.1055/s-0040-1704924
ESGE Days 2020 ePoster presentations
Colon and rectum 09:00–17:00 Thursday, April 23, 2020 ePoster area
© Georg Thieme Verlag KG Stuttgart · New York

PERCUTANEOUS ENDOSCOPIC NECROSECTOMY USING A FULL COVERED SEMS IN A PATIENT WITH WALLED-OFF NECROSIS

KH Kim
1   Yeungnam University College of Medicine, Daegu, Korea, Republic of
,
SB Kim
2   Yeungnam University, Daegu, Korea, Republic of
,
MC Kim
2   Yeungnam University, Daegu, Korea, Republic of
,
JH Cho
2   Yeungnam University, Daegu, Korea, Republic of
,
KO Kim
2   Yeungnam University, Daegu, Korea, Republic of
,
SH Lee
2   Yeungnam University, Daegu, Korea, Republic of
,
BI Jang
2   Yeungnam University, Daegu, Korea, Republic of
,
TN Kim
2   Yeungnam University, Daegu, Korea, Republic of
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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Aims Stent-assisted percutaneous endoscopic necrosectomy is recognized as a main treatment for the WON.

Methods A 37-year-old man presented with peripancreatic necrosis. CT scan demonstrated a huge WON involving the pancreatic body, peripancreatic space, extending to the left pericolic space. A full covered self-expanding metal stent (20mm x 12cm) was placed across the abdominal wall. Necrosectomy using upper endoscope via the FCSEMS was performed. Basket, snare and alligator forcep were applied for necrosectomy.

Results The conventional upper endoscope was smoothly inserted into the sinus tract for necrosectomy.

Conclusions Endoscopic necrosectomy via FCSEMS is a useful and safe modality in WON.