ASGE DDW Videos from Around the World | 2023-ESOPHAGEAL STENT SALVAGE FOR TWICE MALDEPLOYED LUMEN-APPOSING METAL STENT (LAMS) IN PANCREATIC WALLED-OFF NECROSIS

ESOPHAGEAL STENT SALVAGE FOR TWICE MALDEPLOYED LUMEN-APPOSING METAL STENT (LAMS) IN PANCREATIC WALLED-OFF NECROSIS

Video Transcription

Video Summary

The video describes a case study of a 56-year-old female patient who had a history of a motor vehicle accident, resulting in a pancreatic leak. The patient developed recurrent acute pancreatitis due to pancreatic ductal stone blockage and required two distal pancreatectomies. As a result, the patient developed a walled off necrosis in the distal pancreatectomy site. Initially, a lumen opposing metal stent (LAMS) was deployed, but it was mispositioned. The LAMS was removed and replaced, but still could not reach the intended location. Eventually, a fully covered esophageal stent was placed, followed by multiple direct endoscopic necrosectomies. The patient's condition improved with each necrosectomy, and she did not require further therapy. The video emphasizes the potential complications and challenges associated with advanced endoscopic procedures.

Asset Subtitle

Honorable Mention

Keywords

case study

56-year-old female patient

pancreatic leak

distal pancreatectomy

recurrent acute pancreatitis