Infected walled-off pancreatic necrosis following EUS-guided drainage successfully treated using multiple stents in different sites technique

Abstract

Walled-off pancreatic necrosis (WOPN) is one of the most life-threatening complications of acute severe pancreatitis. Regarding its high mortality and morbidity without appropriate treatment, the drainage procedure is still the mainstay of the treatment for this condition. There are multiple drainage options for this event. To date, endoscopic drainage alone has not been adequate for this condition, while surgical drainage has been reported to have a high morbidity. Endoscopic drainage with pancreatic necrosectomy is the most effective and safe method, while endoscopic drainage with aggressive lavage is another acceptable treatment option. The procedural details have been described elsewhere in many studies. In this report, we describe an alternative technique of drainage by endoscopy alone, without aggressive lavage procedure, that yielded an acceptable outcome with an easier procedure. © 2013 S. Karger AG, Basel.