EUS-ENDOSCOPIC MANAGEMENT OF WALLED-OFF NECROSIS (WON)

ENDOSCOPIC MANAGEMENT OF WALLED-OFF NECROSIS (WON)

Video Transcription

Video Summary

The video discusses a case of a 40-year-old woman who presented with acute biliary pancreatitis and later developed a walled-off necrosis. The proposed treatment was an endoscopic ultrasound-guided drainage, followed by ERCP with viscography to disrupt the pancreatic duct. The video shows the various steps involved in the procedure, including puncturing the collection, dilating the tract, and deploying stents for drainage. After one week, the patient developed fever and necrotic content was observed. Direct washing of the collection and necrosectomy were performed, followed by the placement of plastic stents. Follow-up CT scans showed the resolution of the collection and the patient remained asymptomatic. The video emphasizes the effectiveness of minimally invasive endoscopic approaches in treating pancreatic fluid collections.

Asset Subtitle

Honorable Mention

Keywords

40-year-old woman

acute biliary pancreatitis

walled-off necrosis

endoscopic ultrasound-guided drainage

ERCP with viscography