Extensive Pancreatic Necrosis, Successful Management with Percutaneous Endoscopic Necrosectomy
DOI:
https://doi.org/10.22516/25007440.1083Keywords:
Acute necrotizing pancreatitis, endoscopy of the digestive system, Minimally invasive surgical procedures, Persistent InfectionAbstract
Percutaneous endoscopic necrosectomy is a procedure indicated for managing extensive pancreatic necrosis. Different endoscopic and surgical alternatives have been described for drainage of peripancreatic collections and debridement of necrosis, and minimally invasive approaches have lower complications and mortality rates. We presented the case of a patient with severe pancreatitis associated with pancreatic necrosis extending to both paracolic gutters, who underwent percutaneous endoscopic necrosectomy, after unsuccessful percutaneous and laparoscopic drainage, and a complete resolution of the clinical picture was achieved.
Management should consider the clinical condition of the patient, the location of the collections, and the time of evolution of the pancreatitis, and thus choose which intervention will be the most effective, considering also the experience of the medical team and the available resources.
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