Weigand, Kilian and Mehrl, Alexander and Goessmann, Holger and Mueller, Martina and Kandulski, Arne (2020) Endoscopic Necrosectomy of Walled-Off Necrosis following Severe Pancreatitis Using a Hot Axios(TM)Stent - A Case Series. DIGESTIVE DISEASES, 38 (4). pp. 344-347. ISSN 0257-2753, 1421-9875
Full text not available from this repository. (Request a copy)Abstract
Background:Walled-off necrosis is a common complication of severe pancreatitis. Guidelines recommend endoscopic transgastric necrosectomy as therapy of choice. Different endoscopic approaches are possible.Methods:We retrospectively analyzed our series of 9 patients where necrosectomy was performed after application of a lumen-apposing metal stent (LAMS) delivered using a Hot Axios(TM) Stent device.Results:In all 9 cases, the walled-off necrosis resolved completely. Necrosectomy was performed through the LAMS (mean: 5.7 times). Endoscopic necrosectomy was repeated every 3rd-7th day using 10- or 15-mm snares. There were no major complications. Especially, no early or delayed bleeding was seen.Conclusion:The Hot Axios(TM) Stent device is a safe method for necrosectomy of walled-off necrosis. It enables puncture, drainage, and LAMS insertion in a single delivery, followed by several courses of necrosectomy if needed without stent exchange.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | FLUID COLLECTIONS; METAL STENT; DRAINAGE; MANAGEMENT; COMPLICATIONS; Endoscopic treatment; SEMS; Lumen-apposing metal stents; LAMS; Necrosectomy; Pancreatitis; Hot Axios; Self-expandable metal stents |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Innere Medizin I Medicine > Lehrstuhl für Röntgendiagnostik |
| Depositing User: | Petra Gürster |
| Date Deposited: | 13 Apr 2021 07:55 |
| Last Modified: | 13 Apr 2021 07:55 |
| URI: | https://pred.uni-regensburg.de/id/eprint/44303 |
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