Endoscopy 2020; 52(S 01): S310
DOI: 10.1055/s-0040-1704995
ESGE Days 2020 ePoster presentations
Thursday, April 23, 2020 09:00 – 17:00 Endoscopic ultrasound ePoster area
© Georg Thieme Verlag KG Stuttgart · New York

EUS-GUIDED DRAINAGE USING LUMEN APPOSING METAL STENT AND TRANSCUTANEOUS ENDOSCOPIC NECROSECTOMY AS DUAL APPROACH FOR THE MANAGEMENT OF COMPLEX WALLED-OFF NECROSIS. A CASE REPORT

C Binda
1   Forli-Cesena Hospital, AUSL Romagna, Gastroenterology and Digestive Endoscopy Unit, Forlì, Italy
,
M Sbrancia
2   Forli-Cesena Hospital, AUSL Romagna, Gastroenterology and Digestive Endoscopy Unit, Cesena, Italy
,
E Giampalma
3    M. Bufalini Hospital, Unit of Radiology, Cesena, Italy
,
D Colussi
2   Forli-Cesena Hospital, AUSL Romagna, Gastroenterology and Digestive Endoscopy Unit, Cesena, Italy
,
V Agnoletti
4    M. Bufalini Hospital, Anesthesia and Intensive Care Unit, Cesena, Italy
,
A Taioli
3    M. Bufalini Hospital, Unit of Radiology, Cesena, Italy
,
L Ansaloni
5   M. Bufalini Hospital, General, Emergency and Trauma Surgery Department, Cesena, Italy
,
N Fabbri
5   M. Bufalini Hospital, General, Emergency and Trauma Surgery Department, Cesena, Italy
,
C Fabbri
1   Forli-Cesena Hospital, AUSL Romagna, Gastroenterology and Digestive Endoscopy Unit, Forlì, Italy
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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A 61 years old man after 3 weeks from the onset of acute necrotizing pancreatitis (ANP) developed signs of severe sepsis. The CT scan showed a large WOPN, with extension to the pelvic paracolic gutter, so he underwent to EUS-guided drainage using EC-LAMS. After an initial resolution of sepsi, 3 weeks later the patient developed multiorgan failure (MOF). The CT-scan showed an increase of the amount of necrosis to the pelvic paracolic gutter. Therefore, we placed an esophageal SEMS transcutaneously and performed 5 sessions of necrosectomy. The patient rapidly resolved sepsi and a complete resolution of the necrosis was obtained.