EndoRotor is safe and effective in pancreatic necrosectomy

Abstract Text A 48-year-old gentleman was admitted to hospital with acute severe necrotising pancreatitis secondary to alcohol, complicated by splenic vein thrombosis. He developed an infected walled-off pancreatic necrosis (WOPN) measuring 24x32cm, causing multi-organ failure and a prolonged admission on the intensive care unit. An endoscopic ultrasound (EUS)-guided cystgastrostomy was performed using a 15mm lumen-apposing metal stent (Hot Axios), between the stomach and the WOPN. Direct endoscopic necrosectomy (DEN) was subsequently performed using the 3mm EndoRotor, which was passed through the 3.2mm channel of a gastroscope. The EndoRotor is one of the few endoscopic tools specifically designed for DEN [1] [2].

Video  http://data.process.y-congress.com/ScientificProcess/Data//106/570/1428/765f6567-2f00-428f-8ada-333ea4afdd95/Uploads/16849_EndoRotor_for%20Necrosectomy%20(3%20min).mp4

Publikationsverlauf

Artikel online veröffentlicht:
27. März 2025

• References

• 1 Binda C, Coluccio C, Vizzuso A, Sartini A, Sbrancia M, Cucchetti A. et al. Direct Endoscopic Necrosectomy of a Recurrent Walled-Off Pancreatic Necrosis at High Risk for Severe Bleeding: A Hybrid Technique Using a Dedicated Device. Diagnostics. 2023; 13 (14): 2321
• 2 Muthusamy VR, Chandrasekhara V, Acosta RD, Bruining DH, Chathadi KV, Eloubeidi MA. et al. The role of endoscopy in the diagnosis and treatment of inflammatory pancreatic fluid collections. Gastrointestinal Endoscopy 2016; 83 (3): 481-8