Endoscopy 2020; 52(S 01): S311
DOI: 10.1055/s-0040-1704998
ESGE Days 2020 ePoster presentations
Thursday, April 23, 2020 09:00 – 17:00 Endoscopic ultrasound ePoster area
© Georg Thieme Verlag KG Stuttgart · New York

DIRECT ENDOSCOPIC NECROSECTOMY (DEN) OF WALLED-OFF PANCREATIC NECROSIS (WOPN) AFTER DRAINAGE WITH ELECTROCAUTERY ENHANCED LUMEN-APPOSING METAL STENT (EC-LAMS): TIME FOR HOT-SNARE TREATMENT? A CASE REPORT

G Gibiino
1   AUSL Romagna, UOC Gastroenterologia ed Endoscopia Digestiva Forlì-Cesena, Forlì-Cesena, Italy
,
M Sbrancia
1   AUSL Romagna, UOC Gastroenterologia ed Endoscopia Digestiva Forlì-Cesena, Forlì-Cesena, Italy
,
C Binda
1   AUSL Romagna, UOC Gastroenterologia ed Endoscopia Digestiva Forlì-Cesena, Forlì-Cesena, Italy
,
D Colussi
1   AUSL Romagna, UOC Gastroenterologia ed Endoscopia Digestiva Forlì-Cesena, Forlì-Cesena, Italy
,
A Sartini
1   AUSL Romagna, UOC Gastroenterologia ed Endoscopia Digestiva Forlì-Cesena, Forlì-Cesena, Italy
,
E Giampalma
2   AUSL Romagna, UO Radiologia, Forlì-Cesena, Italy
,
L Ansaloni
3   AUSL Romagna, UO Chirurgia Generale e d’Urgenza, Cesena, Italy
,
V Agnoletti
4   AUSL Romagna, UO Anestesia e Rianimazione, Cesena, Italy
,
C Fabbri
1   AUSL Romagna, UOC Gastroenterologia ed Endoscopia Digestiva Forlì-Cesena, Forlì-Cesena, Italy
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Publikationsverlauf

Publikationsdatum:
23. April 2020 (online)

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A 60-years old woman developed a 10 cm-WOPN with signs of persistent infection. Therefore, she underwent to Endoscopic Ultrasound (EUS)-guided drainage using EC-LAMS. Because of the presence of large amount of solid necrosis, after 3 days we performed a contrast-enhanced EUS (CH-EUS) in order to exclude the presence of large vessels within the necrosis and therefore we performed DEN using both cold and hot-snare by bringing the tissue towards the gastric side. No complications occurred.

This is the first report of DEN using hot-snare and could provide an innovative approach for hard-to-treat WOPN.