Endoscopic Necrosectomy of Walled-Off Necrosis following Severe Pancreatitis Using a Hot AxiosTM Stent - A Case Series

被引：5
作者：
Weigand, Kilian [1 ]
Mehrl, Alexander [1 ]
Goessmann, Holger [2 ]
Mueller, Martina [1 ]
Kandulski, Arne [1 ]
机构：
[1] Univ Hosp Regensburg, Dept Gastroenterol, Regensburg, Germany
[2] Univ Hosp Regensburg, Dept Radiol, Regensburg, Germany
来源：
DIGESTIVE DISEASES | 2020年 / 38卷 / 04期
关键词：
Endoscopic treatment; SEMS; Lumen-apposing metal stents; LAMS; Necrosectomy; Pancreatitis; Hot Axios; Self-expandable metal stents; FLUID COLLECTIONS; METAL STENT; DRAINAGE; MANAGEMENT; COMPLICATIONS;
D O I：
10.1159/000503991
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
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.
引用
收藏
页码：344 / 347
页数：4
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共 16 条
  • [1] A retrospective study evaluating endoscopic ultrasound-guided drainage of pancreatic fluid collections using a novel lumen-apposing metal stent on an electrocautery enhanced delivery system
    Adler, Douglas G.
    Taylor, Linda Jo
    Hasan, Raza
    Siddiqui, Ali A.
    [J]. ENDOSCOPIC ULTRASOUND, 2017, 6 (06) : 389 - 393
  • [2] Endoscopic management of complications of acute pancreatitis: an update on the field
    Aghdassi, Ali
    Simon, Peter
    Pickartz, Tilman
    Budde, Christoph
    Skube, Mariya E.
    Lerch, Markus. M.
    [J]. EXPERT REVIEW OF GASTROENTEROLOGY & HEPATOLOGY, 2018, 12 (12) : 1207 - 1218
  • [3] Endoscopic management of acute necrotizing pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) evidence-based multidisciplinary guidelines
    Arvanitakis, Marianna
    Dumonceau, Jean-Marc
    Albert, Joerg
    Badaoui, Abdenor
    Bali, Maria Antonietta
    Barthet, Marc
    Besselink, Marc
    Deviere, Jacques
    Ferreira, Alexandre Oliveira
    Gyokeres, Tibor
    Hritz, Istvan
    Hucl, Tomas
    Milashka, Marianna
    Papanikolaou, Ioannis S.
    Poley, Jan-Werner
    Seewald, Stefan
    Vanbiervliet, Geoffroy
    van Lienden, Krijn
    van Santvoort, Hjalmar
    Voermans, Rogier
    Delhaye, Myriam
    van Hooft, Jeanin
    [J]. ENDOSCOPY, 2018, 50 (05) : 524 - 546
  • [4] An Endoscopic Transluminal Approach, Compared With Minimally Invasive Surgery, Reduces Complications and Costs for Patients With Necrotizing Pancreatitis
    Bang, Ji Young
    Arnoletti, Juan Pablo
    Holt, Bronte A.
    Sutton, Bryce
    Hasan, Muhammad K.
    Navaneethan, Udayakumar
    Feranec, Nicholas
    Wilcox, C. Mel
    Tharian, Benjamin
    Hawes, Robert H.
    Varadarajulu, Shyam
    [J]. GASTROENTEROLOGY, 2019, 156 (04) : 1027 - +
  • [5] Non-superiority of lumen-apposing metal stents over plastic stents for drainage of walled-off necrosis in a randomised trial
    Bang, Ji Young
    Navaneethan, Udayakumar
    Hasan, Muhammad K.
    Sutton, Bryce
    Hawes, Robert
    Varadarajulu, Shyam
    [J]. GUT, 2019, 68 (07) : 1200 - 1209
  • [6] Endoscopic ultrasonography-guided transmural drainage of walled-off pancreatic necrosis: Comparison between a specially designed fully covered bi-flanged metal stent and multiple plastic stents
    Bapaye, Amol
    Dubale, Nachiket A.
    Sheth, Keyur A.
    Bapaye, Jay
    Ramesh, Jayapal
    Gadhikar, Harshal
    Mahajani, Sheetal
    Date, Suhas
    Pujari, Rajendra
    Gaadhe, Ravindra
    [J]. DIGESTIVE ENDOSCOPY, 2017, 29 (01) : 104 - 110
  • [7] A multi-institutional consensus on how to perform endoscopic ultrasound-guided peri-pancreatic fluid collection drainage and endoscopic necrosectomy
    Guo, Jintao
    Saftoiu, Adrian
    Vilmann, Peter
    Fusaroli, Pietro
    Giovannini, Marc
    Mishra, Girish
    Rana, Surinder S.
    Ho, Sammy
    Poley, Jan-Werner
    Ang, Tiing Leong
    Kalaitzakis, Evangelos
    Siddiqui, Ali A.
    De la Mora-Levy, Jose G.
    Lakhtakia, Sundeep
    Bhutani, Manoop S.
    Sharma, Malay
    Mukai, Shuntaro
    Garg, Pramod Kumar
    Lee, Linda S.
    Vila, Juan J.
    Artifon, Everson
    Adler, Douglas G.
    Sun, Siyu
    [J]. ENDOSCOPIC ULTRASOUND, 2017, 6 (05) : 285 - 291
  • [8] Endoscopic drainage of walled-off pancreatic necrosis using a novel self-expanding metal stent
    Huggett, Matthew T.
    Oppong, Kofi W.
    Pereira, Stephen P.
    Keane, Margaret G.
    Mitra, Vikramjit
    Charnley, Richard M.
    Nayar, Manu K.
    [J]. ENDOSCOPY, 2015, 47 (10) : 929 - 932
  • [9] Current problems and clinical results of endoscopic necrosectomy for walled-off pancreatic necrosis
    Matsumoto, Kazuyuki
    Kato, Hironari
    Okada, Hiroyuki
    [J]. DIGESTIVE ENDOSCOPY, 2019, 31 : 67 - 68
  • [10] The role of endoscopic intervention in the management of inflammatory pancreatic fluid collections
    Parihar, Vikrant
    Ridgway, Paul F.
    Conlon, Kevin C.
    Huggett, Matthew
    Ryan, Barbara M.
    [J]. EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY, 2017, 29 (04) : 371 - 379
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