Display options
Cite
Ang TL, Eu Kwek AB, Fock KM, et al. Endoscopic ultrasound-guided insertion of a large diameter fully covered self-expandable metallic stent as rescue therapy for recurrent infected walled off pancreatic necrosis after surgical necrosectomy. Endosc Ultrasound. 2014;3(4):245-8doi: 10.4103/2303-9027.144544.
Ang, T. L., Eu Kwek, A. B., Fock, K. M., & Teo, E. K. (2014). Endoscopic ultrasound-guided insertion of a large diameter fully covered self-expandable metallic stent as rescue therapy for recurrent infected walled off pancreatic necrosis after surgical necrosectomy. Endoscopic ultrasound, 3(4), 245-8. https://doi.org/10.4103/2303-9027.144544
Ang, Tiing Leong, et al. "Endoscopic ultrasound-guided insertion of a large diameter fully covered self-expandable metallic stent as rescue therapy for recurrent infected walled off pancreatic necrosis after surgical necrosectomy." Endoscopic ultrasound vol. 3,4 (2014): 245-8. doi: https://doi.org/10.4103/2303-9027.144544
Ang TL, Eu Kwek AB, Fock KM, Teo EK. Endoscopic ultrasound-guided insertion of a large diameter fully covered self-expandable metallic stent as rescue therapy for recurrent infected walled off pancreatic necrosis after surgical necrosectomy. Endosc Ultrasound. 2014 Oct;3(4):245-8. doi: 10.4103/2303-9027.144544. PMID: 25485273; PMCID: PMC4247533.
Copy Download .nbib Format: NLM
Share it on

Endosc Ultrasound. 2014 Oct;3(4):245-8. doi: 10.4103/2303-9027.144544.

Endoscopic ultrasound-guided insertion of a large diameter fully covered self-expandable metallic stent as rescue therapy for recurrent infected walled off pancreatic necrosis after surgical necrosectomy.

Endoscopic ultrasound

Tiing Leong Ang, Andrew Boon Eu Kwek, Kwong Ming Fock, Eng Kiong Teo

Affiliations

  1. Department of Gastroenterology and Hepatology, Changi General Hospital, Singapore.

PMID: 25485273 PMCID: PMC4247533 DOI: 10.4103/2303-9027.144544

Abstract

A 39-year-old man developed severe necrotizing gallstone pancreatitis complicated by infected pancreatic necrosis. Surgical necrosectomy was performed to control the on-going sepsis. Subsequently, there was a recurrence of an infected necrotic collection at the site of surgical necrosectomy, in the region of the pancreatic body and tail. He did not respond to conservative treatment with intravenous antibiotics. Pancreatic duct stenting was performed to treat pancreatic duct leak, followed by endoscopic ultrasound guided insertion of a large diameter fully covered self-expandable metallic stent to drain the infected collection. There was rapid and complete clinical recovery.

Keywords: Drainage; endoscopic ultrasound; necrosectomy; pancreatic necrosis

References

  1. Pancreas. 2012 Nov;41(8):1176-94 - PubMed
  2. Endosc Ultrasound. 2013 Jul;2(3):134-41 - PubMed
  3. Gastroenterology. 2013 Sep;145(3):583-90.e1 - PubMed
  4. Gut. 2009 Sep;58(9):1260-6 - PubMed
  5. Endoscopy. 2009 Oct;41(10 ):842-8 - PubMed
  6. J Hepatobiliary Pancreat Sci. 2013 Mar;20(3):403-6 - PubMed
  7. Gastrointest Endosc. 2008 Dec;68(6):1102-11 - PubMed
  8. Gastrointest Endosc. 2012 Apr;75(4):870-6 - PubMed
  9. Dig Endosc. 2012 Jan;24(1):36-41 - PubMed
  10. Endoscopy. 2013 Aug;45(8):627-34 - PubMed

Publication Types