Endoscopic treatment of walled-off pancreatic necrosis is becoming more prevalent in clinical practice, although perforation may complicate 5% of cases, and efficient management of this complication is imperative. In this report, we present a case of necrosis cavity perforation successfully managed by a combined laparoscopic–endoscopic approach, with a novel method of luminal defect closure.
Get full access to this article
View all access options for this article.
References
1.
GardnerTB, ChahalP, PapachristouGIet al.A comparison of direct endoscopic necrosectomy with transmural endoscopic drainage for the treatment of walled-off pancreatic necrosis. Gastrointest Endosc, 2009; 69:1085–1094.
2.
SeifertH, BiermerM, SchmittWet al.Transluminal endoscopic necrosectomy after acute pancreatitis: A multicentre study with long-term follow-up (the GEPARD Study)Gut, 2009; 58:1260–1266.
3.
ElmunzerBJ, GhazaleA, WaljeeAK, WomeldorphCM. Transgastric Endoscopic Necrosectomy for Walled-Off Pancreatic Necrosis. The DAVE Project, 2009. http://daveproject.org/viewfilms.cfm?film_id=883(retrieved April 25, 2010).
4.
EndoM, InomataM, TerniTet al.New endoscopic technique to close large mucosal defects after endoscopic mucosal resection in patients with gastric mucosal tumors. Dig Endosc, 2004; 16:372–375.
5.
MatsudaT, FujiiT, EmuraFet al.Complete closure of a large defect after EMR of a lateral spreading colorectal tumor when using a two channel colonoscope. Gastrointest Endosc, 2004; 60:836–838.
