Endoscopy 2022; 54(S 01): S215
DOI: 10.1055/s-0042-1745166
Abstracts | ESGE Days 2022
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MULTIPLE GATEWAY APPROACH IN EUS-GUIDED DRAINAGE OF INFECTED WALLED-OFF PANCREATIC NECROSIS

M.I. Canha
1   Centro Hospitalar Universitário de Lisboa Central, Gastroenterology, Lisbon, Portugal
,
R. Prata
1   Centro Hospitalar Universitário de Lisboa Central, Gastroenterology, Lisbon, Portugal
,
R. Saraiva
1   Centro Hospitalar Universitário de Lisboa Central, Gastroenterology, Lisbon, Portugal
,
V. Gamelas
1   Centro Hospitalar Universitário de Lisboa Central, Gastroenterology, Lisbon, Portugal
,
G. Simões
1   Centro Hospitalar Universitário de Lisboa Central, Gastroenterology, Lisbon, Portugal
,
G. Ramos
1   Centro Hospitalar Universitário de Lisboa Central, Gastroenterology, Lisbon, Portugal
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55-year-old male with infected necrotizing alcoholic acute pancreatitis (14x7cm retroperitoneal abscess), managed with antibiotics, lumen-apposing metal stent (LAMS) and necrosectomy. The LAMS was replaced by a plastic stent due to proximity to the splenic artery.

Because of ongoing signs of infection, he underwent an EUS in which a 2nd gateway was created with LAMS. The cavity was irrigated with H2O2(1:20) and submitted to necrosectomy. Two more double-pigtail stents (7Frx5cm) and a nasocystic probe were placed through the 1st gateway.

Two weeks later, the CT showed reduction in the collection size and later the LAMS was removed. Patient is currently asymptomatic.



Publication History

Article published online:
14 April 2022

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