Treatment of Pancreatic Abscess with Endoscopic Ultrasound-guided Placement of a Covered Metal Stent Following Failed Balloon Dilation and Endoscopic Necrosectomy

Nan Ge; Xiang Liu; Sheng Wang; Guoxin Wang; Jintao Guo; Wen Liu; Siyu Sun

doi:10.7178/eus.02.010

Treatment of Pancreatic Abscess with Endoscopic Ultrasound-guided Placement of a Covered Metal Stent Following Failed Balloon Dilation and Endoscopic Necrosectomy

Endosc Ultrasound. 2012 Jul;1(2):110-3. doi: 10.7178/eus.02.010.

Authors

Nan Ge¹, Xiang Liu¹, Sheng Wang¹, Guoxin Wang¹, Jintao Guo¹, Wen Liu¹, Siyu Sun¹

Affiliation

¹ Endoscopy center, Shengjing Hospital of China Medical University, Shenyang 110004, Liaoning Province, China.

Abstract

For the management of pancreatic abscess, endoscopic ultrasound (EUS)-guided puncture and drainage has become recognized as a safer and more effective alternative to surgery. Typically, a double-pigtail plastic stent is placed for drainage. When an abscess is complicated by infected necrosis, endoscopic evacuation is essential. However, endoscopic evacuation carries a high risk of hemorrhage and needs to be performed daily to be effective. We describe EUS-guided endoscopic evacuation and placement of a fully covered metal stent following two failed evacuations. Patient recovery time was excellent, and no complications occurred.

Keywords: balloon dilation; endoscopic necrosectomy; endoscopic ultrasound; metal stent; pancreatic abscess.

Publication types

Case Reports