Necrosectomy performed by a single-use endoscope with a large operative working channel

Abstract Text A 61 year-old male with a large infected peripancreatic Walled Off Necrosis after an acute pancreatitis [1] was managed with an EUS-drainage with Hot-Axios 20x10 mm [2] [3], followed by pneumatic dilation of the stent up to 15 mm, and endoscopic necrosectomy. After necrosectomy 2 double pig-tail plastic stents 7Fr x 7cm and 7Fr x 5cm were placed with stent-in-stent technique. For necrosectomy we used a single-use endoscope with large operative channel (4.2 mm). After two weeks the patient performed a CT scan that confirmed the resolution of the WON. Then the stent was removed without any complications. Our case underlines the feasibility of performing endoscopic necrosectomy of an infected WON using a new single-use endoscope, theoretically avoiding the risk of scope infection [4]. Moreover, the large working channel (4.2 mm) may reduce procedural time, and multiple endoscopic sessions.

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Publication History

Article published online:
27 March 2025

• References

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• 4 Capurso G, Rizzo GEM, Coluccio C. et al. The i-EUS consensus on the management of pancreatic fluid collections – Part 1 Dig Liver Dis. 2024