scholarly journals “EndoRotoring” the pancreatic necrosis: Is an old trick the answer for more effective endoscopic debridement?

2022 ◽  
Author(s):  
Mohammad Al-Haddad
Keyword(s):  
Pancreatic Necrosis ◽  
Endoscopic Debridement

scholarly journals Early experience with cap-assisted endoscopic pancreatic necrosectomy: A technique to enhance safe tissue extraction and decrease interventions

2019 ◽  
Vol 07 (07) ◽  
pp. E912-E915
Author(s):  
Nishant Puri ◽  
Alexander Hallac ◽  
Wichit Srikureja
Keyword(s):  
Median Duration ◽  
Pancreatic Necrosis ◽  
Inclusion Criteria ◽  
Endoscopic Necrosectomy ◽  
Pancreatic Fluid ◽  
Fluid Collections ◽  
Endoscopic Debridement ◽  
Tomography Scan ◽  
Retrospective Database

Abstract Background and study aim Endoscopic treatment of walled-off pancreatic necrosis (WOPN) has been established as an alternative to operative intervention for well selected patients for many years. Patients and methods A retrospective database of patients who underwent cap-assisted endoscopic necrosectomy of symptomatic or infected WOPN using the assistance of a sterilized banding cap was constructed. All procedures were performed at a single center between January 2017 and June 2018. Results Eight patients met the inclusion criteria for this study. Contrast computed tomography scan was obtained between the initial percutaneous or trans-gastric access and initial necrosectomy. The WOPN had a median length of 9.5 cm (range 3.2 – 14) and width of 5.3 cm (range 2.8 – 11.6). Median duration of endoscopic debridement was 69 minutes (range 21 – 105). Four of six patients underwent a second debridement with a median duration of 95 minutes (range 16 – 108). No periprocedural adverse events occurred. Follow-up was at 6 months, and there were no additional endoscopic or percutaneous interventions for recurrent pancreatic fluid collections. Conclusion The technique of cap-assisted necrosectomy can allow for safe and efficient method of endoscopically treating WOPN.

The role of endoscopic ultrasonography in endoscopic debridement of walled-off pancreatic necrosis – A single center experience

Pancreatology ◽  
2015 ◽  
Vol 15 (5) ◽  
pp. 503-507 ◽  
Author(s):  
Mateusz Jagielski ◽  
Marian Smoczyński ◽  
Anna Jabłońska ◽  
Iwona Marek ◽  
Michał Dubowik ◽  
...  
Keyword(s):  
Endoscopic Ultrasonography ◽  
Pancreatic Necrosis ◽  
Single Center ◽  
Single Center Experience ◽  
Endoscopic Debridement

scholarly journals Novel Resection System for Direct Endoscopic Necrosectomy of Walled-Off Pancreas Necrosis: Have We Conquered the Final Frontier?

2021 ◽  
Vol 12 (04) ◽  
pp. 258-260
Author(s):  
Surinder Singh Rana ◽  
Rajesh Gupta
Keyword(s):  
Pancreatic Necrosis ◽  
Large Diameter ◽  
Blunt Dissection ◽  
Traditional Management ◽  
Endoscopic Necrosectomy ◽  
Pancreas Necrosis ◽  
Endoscopic Debridement

AbstractSurgical necrosectomy has been the traditional management for pancreatic necrosis and is done using blunt dissection. However, lack of dedicated endoscopic accessories has been a major limitation in direct endoscopic necrosectomy (DEN). Standard endoscopic accessories cannot effectively remove large necrotic material. Also, diameter of instrument channel of the endoscope limits the ability to use large-diameter graspers that can remove large chunks of necrotic material. In this news, we discuss a recent study that has evaluated a new powered endoscopic debridement system for DEN.

Serum calprotectin in infected pancreatic necrosis

2013 ◽  
Vol 51 (05) ◽  
Author(s):  
V Terzin ◽  
I Földesi ◽  
R Róka ◽  
Z Szepes ◽  
T Wittmann ◽  
...  
Keyword(s):  
Pancreatic Necrosis ◽  
Infected Pancreatic Necrosis
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