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학술저널
저자정보
Yozo Sato (Department of Diagnostic and Interventional Radiology Aichi Cancer Center Hospital Nagoya Japan) Kazuo Hara (Department of Gastroenterology Aichi Cancer Center Hospital Nagoya Japan) Nozomi Okuno (Department of Gastroenterology Aichi Cancer Center Hospital Nagoya Japan) Shinichi Murata (Department of Diagnostic and Interventional Radiology Aichi Cancer Center Hospital Nagoya Japan) Takaaki Hasegawa (Department of Diagnostic and Interventional Radiology Aichi Cancer Center Hospital Nagoya Japan) Hiroyuki Morinaga (Department of Diagnostic and Interventional Radiology Aichi Cancer Center Hospital Nagoya Japan) Yuki Kimbara (Department of Diagnostic and Interventional Radiology Aichi Cancer Center Hospital Nagoya Japan) Yugo Imai (Department of Diagnostic and Interventional Radiology Aichi Cancer Center Hospital Nagoya Japan) Hidekazu Yamaura (Department of Diagnostic and Interventional Radiology Aichi Cancer Center Hospital Nagoya Japan) Yoshitaka Inaba (Department of Diagnostic and Interventional Radiology Aichi Cancer Center Hospital Nagoya Japan)
저널정보
소화기인터벤션의학회 International Journal of Gastrointestinal Intervention International Journal of Gastrointestinal Intervention 제9권 제3호
발행연도
2020.1
수록면
128 - 131 (4page)

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Walled-off pancreatic necrosis (WOPN) is defined as encapsulated necrotic tissue after severe acute pancreatitis. Treatment strategies for WOPN can be challenging. Although open surgical necrosectomy is the standard treatment for WOPN, it is associated with high rates of morbidity and mortality. Endoscopic necrosectomy, introduced recently, is a treatment option that produces lower rates of morbidity than does open surgery. We report a case of severe WOPN that could not be treated with the usual procedures. Although endoscopic necrosectomy of the left subphrenic and prepancreatic spaces was technically impossible, these spaces could be percutaneously drained. Finally, sufficient drainage of these spaces was achieved with endoscopic necrosectomy through the internal lumen of the self-expandable metallic stent placed percutaneously. This procedure was performed by an endoscopist and an interventional radiologist, and the multidisciplinary approach was useful.

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