UGI Stomach Duodenum-ENDOSCOPIC NECROSECTOMY USING NOVEL ROTATIONAL MICRODEBRIDEMENT

ENDOSCOPIC NECROSECTOMY USING NOVEL ROTATIONAL MICRODEBRIDEMENT

Video Transcription

Video Summary

This video summarizes the case of a 43-year-old male with severe abdominal pain, nausea, and vomiting. MRI revealed necrotizing pancreatitis with a large pancreatic collection. After conservative management, the collection matured and the patient underwent cystogastrostomy and endoscopic necrosectomy procedures. Dense, adherent necrosome and hydrogen peroxide hypersensitivity complicated the treatment. A multidisciplinary approach was taken, and a rotational microdebridement device was used to extensively debride the collection. The device, controlled by a foot switch, mobilized the necrosome, broke it into smaller fragments, and suctioned it out of the cavity. After complete resolution, the patient had full recovery with no complications.

Asset Subtitle

Honorable Mention

Keywords

abdominal pain

nausea

vomiting

necrotizing pancreatitis

pancreatic collection