Endoscopy, Table of Contents Endoscopy 2025; 57(S 02): S321-S322DOI: 10.1055/s-0045-1805790 Abstracts | ESGE Days 2025 ePosters Case report: Endorotor based necrosectomy via multigate approach using gastric LAMS and duodenal fistula as a “natural orifice” Authors Author Affiliations C Triller 1 City Hospital Heinsberg GmbH, Heinsberg, Germany Recommend Article Abstract Full Text References References 1 Arvanitakis M. et al. Endoscopic management of acute necrotizing pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) evidence-based multidisciplinary guidelines. Endoscopy 2018; 50: 524-546 2 van Brunschot S, Hollemans RA, Bakker OJ. et al. Minimally invasive and endoscopic versus open necrosectomy for necrotising pancreatitis: a pooled analysis of individual data for 1980 patients. Gut 2018; 67: 697-706 3 Rizzatti G, Rimbas M, Impagnatiello M, Gasbarrini A, Costamagna G, Larghi A.. Endorotor-Based Endoscopic Necrosectomy as a Rescue or Primary Treatment of Complicated Walled-off Pancreatic Necrosis. A Case Series. J Gastrointestin Liver Dis 2020; 29 (4): 681-684