Endoscopic Transgastric Debridement and Drainage for Splenic Necrosis Following an Acute Episode in Chronic Alcoholic Pancreatitis

Management of the complications and sequelae of acute and chronic pancreatitis is a clinical challenge. We report a case of successful transgastric drainage of splenic necrosis after occlusion of the splenic vessels during an acute episode in chronic pancreatitis.

References

• 1 Hawes R H. Endoscopic management of pseudocysts.  Rev Gastroenterol Disord. 2003;  3 135-141
• 2 Seewald S, Brand B, Omar S, Yasuda I. et al . EUS-guided drainage of subphrenic abscess.  Gastrointest Endosc. 2004;  59 578-580
• 3 Malka D, Hammel P, Levy P, Sauvanet A. et al . Splenic complications in chronic pancreatitis: prevalence and risk factors in a medical-surgical series of 500 patients.  Br J Surg. 1998;  85 1645-1649
• 4 Killeen K L, Shanmuganathan K, Boyd-Kranis R. et al . CT findings after embolization for blunt splenic trauma.  J Vasc Interv Radiol. 2001;  12 209-214
• 5 Baron T H, Thaggard W G, Morgan D E, Stanley R J. Endoscopic therapy for organized pancreatic necrosis.  Gastroenterology. 1996;  111 755-764
• 6 Seifert H, Wehrmann T, Schmitt T. et al . Retroperitoneal endoscopic debridement for infected peripancreatic necrosis.  Lancet. 2000;  356 653-655
• 7 Jacobson B C, Baron T H, Adler D G. et al . ASGE guideline: the role of endoscopy in the diagnosis and the management of cystic lesions and inflammatory fluid collections of the pancreas.  Gastrointest Endosc. 2005;  61 363-370