Transgastrically placed endoscopic vacuum-assisted closure system as an addition to transgastric necrosectomy in necrotizing pancreatitis (with video) - 18/11/12

Doi : 10.1016/j.gie.2012.08.014

Jochen Wedemeyer, MD ^1,^3,^⁎, Stefan Kubicka, MD ^1,⁴, Tim O. Lankisch, MD ¹, Thomas Wirth, MD ¹, Margret Patecki, MD ², Marcus Hiss, MD ², Michael P. Manns, MD ¹, Andrea S. Schneider, MD ¹
¹ Department of Gastroenterology, Hepatology and Endocrinology, Medical School Hannover, Hannover, Germany
² Department of Nephrology, Medical School Hannover, Hannover, Germany
³ Department of Medicine I, Robert Koch Hospital Gehrden, Gehrden, Germany
⁴ Department of Medicine I, Kreiskliniken Reutlingen, Reutlingen, Germany

Reprint requests: Dr Jochen Wedemeyer, MD, Department of Medicine I, Robert Koch Hospital, Gehrden, Klinikum Region Hannover,Von-Reden-Straβe 1, 30989 Gehrden, Germany

Riassunto

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.

Il testo completo di questo articolo è disponibile in PDF.

Abbreviations : EVAC, VAC

Mappa

Patients and methods

Endoscopic vacuum-assisted closure method

Patient 1

Patient 2

Discussion

	DISCLOSURE: The authors disclosed no financial relationships relevant to this publication.
	If you would like to chat with an author of this article, you may contact Dr Wedemeyer at jochen.wedemeyer@krh.eu.

Esportazione

Vol 76 - N° 6

P. 1238-1241 - dicembre 2012 Ritorno al numero

Articolo precedente

Eosinophilic esophagitis: a clinical, endoscopic, and histopathologic review
Mohammed Aamir Ali, Dora Lam-Himlin, Lysandra Voltaggio

| Articolo seguente

A new accessory, endoscopic cuff, improves colonoscopic access for complex polyp resection and scar assessment in the sigmoid colon (with video)
Zacharias P. Tsiamoulos, Brian P. Saunders

Benvenuto su EM|consulte, il riferimento dei professionisti della salute.
L'accesso al testo integrale di questo articolo richiede un abbonamento.

Già abbonato a @@106933@@ rivista ?

connettersi o creare un account