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. 2023 Jun 29;11(6):E618-E622.
doi: 10.1055/a-2095-0272. eCollection 2023 Jun.

EUS-guided transcolonic drainage and necrosectomy in walled-off necrosis: a retrospective, single-center case series

Mohamed Ebrahim  1 , Srdan Novovic  1   2 , Palle Nordblad Schmidt  1 , Erik Feldager Hansen  1 , John Gásdal Karstensen  1   2
Affiliations

EUS-guided transcolonic drainage and necrosectomy in walled-off necrosis: a retrospective, single-center case series

Mohamed Ebrahim et al. Endosc Int Open. .

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%).

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Conflict of interest statement

Conflict of Interest ME, SN, PNS, and EFH have no conflicts of interest to declare. JGK is a consultant for Boston Scientific, Ambu, and SNIPR Biome.

Figures

Fig. 1
Fig. 1
Transcolonic endoscopic ultrasound-guided drainage and necrosectomy for WON with proximity to the oral transverse colon. a Coronal CT slice depicting a WON (red asterisk) with proximity to the oral part of the transverse colon (green asterisk) before placement of lumen-apposing metal stent (LAMS). b Endosonographic view of the WON. c Fluoroscopic view of the LAMS and double pigtail plastic stent. d Endoscopic view of the LAMS and coaxial double pigtail plastic stent.
See this image and copyright information in PMC

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