Endorotor-Based Endoscopic Necrosectomy as a Rescue or Primary Treatment of Complicated Walled-off Pancreatic Necrosis. A Case Series

Antonio Gasbarrini, Guido Costamagna, Gianenrico Rizzatti, Michele Impagnatiello, Alberto Leonardo Larghi, Mihai Rimbas

Risultato della ricerca: Contributo in rivistaArticolo in rivista

Abstract

Direct endoscopic necrosectomy (DEN) is a cumbersome, time-consuming procedure that can be necessary in cases of infected pancreatic walled-off necrosis (WON) not responding to endoscopic ultrasound (EUS)- guided drainage only. Until now, DEN has been performed with non-dedicated devices, thus requiring multiple, long-lasting sessions to achieve adequate clearance of necrotic content. These results in prolonged hospital stay, increased costs and have potential consequences for patients who must undergo multiple endoscopic interventions under sedation. We report four cases of DEN performed in patients with WON after EUS-guided drainage with the Endorotor system, a new morcellator device specifically designed to perform the procedure.
Lingua originaleEnglish
pagine (da-a)681-684
Numero di pagine4
RivistaJOURNAL OF GASTROINTESTINAL AND LIVER DISEASES
Volume29
DOI
Stato di pubblicazionePubblicato - 2020

Keywords

  • Necrosectomy
  • Necrosis
  • Pancreatic
  • Endoscopic

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