Background
Endoscopic transluminal débridement of infected pancreatic necrosis has been proved
to be an important alternative to surgical débridement. Recently, endoscopic vacuum-assisted
closure (EVAC) has been described as a new effective treatment option in upper intestinal
anastomotic leaks.
Objective
To test whether the EVAC can be applied to transgastrically accessible infected cavities.
Design
Single-center case study.
Setting
Academic medical center.
Patients
Two patients with necrotizing pancreatitis.
Main Outcome Measurement
Successful closure of leak.
Results
We successfully applied EVAC to treat transgastrically accessible necrotic cavities.
Limitations
Small case number.
Conclusions
EVAC might be an important additional endoscopic treatment option for infected pancreatic
necrosis, especially if established endoscopic treatment options fail.
Abbreviations:
EVAC (endoscopic vacuum-assisted closure), VAC (vacuum-assisted closure)To read this article in full you will need to make a payment
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References
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Article info
Publication history
Published online: October 01, 2012
Accepted:
August 13,
2012
Received:
January 29,
2012
Footnotes
DISCLOSURE: The authors disclosed no financial relationships relevant to this publication.
If you would like to chat with an author of this article, you may contact Dr Wedemeyer at [email protected]
Identification
Copyright
© 2012 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.
