Transgastrically placed endoscopic vacuum-assisted closure system as an addition to transgastric necrosectomy in necrotizing pancreatitis (with video) - 18/11/12
Reprint requests: Dr Jochen Wedemeyer, MD, Department of Medicine I, Robert Koch Hospital, Gehrden, Klinikum Region Hannover,Von-Reden-Straβe 1, 30989 Gehrden, GermanyRésumé |
Background |
Endoscopic transluminal débridement of infected pancreatic necrosis has been proved to be an important alternative to surgical débridement. Recently, endoscopic vacuum-assisted closure (EVAC) has been described as a new effective treatment option in upper intestinal anastomotic leaks.
Objective |
To test whether the EVAC can be applied to transgastrically accessible infected cavities.
Design |
Single-center case study.
Setting |
Academic medical center.
Patients |
Two patients with necrotizing pancreatitis.
Main Outcome Measurement |
Successful closure of leak.
Results |
We successfully applied EVAC to treat transgastrically accessible necrotic cavities.
Limitations |
Small case number.
Conclusions |
EVAC might be an important additional endoscopic treatment option for infected pancreatic necrosis, especially if established endoscopic treatment options fail.
Le texte complet de cet article est disponible en PDF.Abbreviations : EVAC, VAC
Plan
| DISCLOSURE: The authors disclosed no financial relationships relevant to this publication. |
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| If you would like to chat with an author of this article, you may contact Dr Wedemeyer at jochen.wedemeyer@krh.eu. |
Vol 76 - N° 6
P. 1238-1241 - décembre 2012 Retour au numéro
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