Transgastrically placed endoscopic vacuum-assisted closure system as an addition to transgastric necrosectomy in necrotizing pancreatitis (with video)

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• 作者：Jochen Wedemeyer ; MD¹ ; ³ ; ; Stefan Kubicka ; MD¹ ; ⁴ ; Tim O. Lankisch ; MD¹ ; Thomas Wirth ; MD¹ ; Margret Patecki ; MD² ; Marcus Hiss ; MD² ; Michael P. Manns ; MD¹ ; Andrea S. Schneider ; MD¹
• 关键词：EVAC ; endoscopic vacuum-assisted closure ; VAC ; vacuum-assisted closure
• 刊名：Gastrointestinal Endoscopy
• 出版年：2012
• 出版时间：December, 2012
• 年：2012
• 卷：76
• 期：6
• 页码：1238-1241
• 全文大小：1136 K

文摘

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Background

Endoscopic transluminal d¨¦bridement of infected pancreatic necrosis has been proved to be an important alternative to surgical d¨¦bridement. 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.