TY - JOUR
T1 - EUS-guided transcolonic drainage and necrosectomy in walled-off necrosis: a retrospective, single-center case series
AU - Ebrahim, Mohamed
AU - Karstensen, John Gásdal
A2 - Novovic, Srdan
A2 - Schmidt, Palle Nordblad
A2 - Feldager Hansen, Erik
PY - 2023/6
Y1 - 2023/6
N2 - Background and study aims Transgastric endoscopic ultrasound (EUS)-guided drainage and, if needed, necrosectomy is the preferred treatment in patients with pancreatic walled-off necrosis. EUS-guided transcolonic or transrectal drainage and necrosectomy may serve as a minimally invasive alternative in cases in which transgastric or percutaneous drainage is either impossible or fails to secure sufficient drainage. In this paper, we retrospectively evaluated the feasibility, safety, and efficacy of the treatment. We included nine patients and found a technical success rate of 100%, clinical success in 89%, and one adverse event (11%). Transrectal/transcolonic endoscopic necrosectomy was needed in seven patients (78%).
AB - Background and study aims Transgastric endoscopic ultrasound (EUS)-guided drainage and, if needed, necrosectomy is the preferred treatment in patients with pancreatic walled-off necrosis. EUS-guided transcolonic or transrectal drainage and necrosectomy may serve as a minimally invasive alternative in cases in which transgastric or percutaneous drainage is either impossible or fails to secure sufficient drainage. In this paper, we retrospectively evaluated the feasibility, safety, and efficacy of the treatment. We included nine patients and found a technical success rate of 100%, clinical success in 89%, and one adverse event (11%). Transrectal/transcolonic endoscopic necrosectomy was needed in seven patients (78%).
U2 - 10.1055/a-2095-0272
DO - 10.1055/a-2095-0272
M3 - Journal article
C2 - 37854888
SN - 2196-9736
VL - 11
SP - E618-E622
JO - Endoscopy International Open
JF - Endoscopy International Open
IS - 6
ER -