Endoscopic ultrasound-guided insertion of a large diameter fully covered self-expandable metallic stent as rescue therapy for recurrent infected walled off pancreatic necrosis after surgical necrosectomy.
Endoscopic ultrasound-guided insertion of a large diameter fully covered self-expandable metallic stent as rescue therapy for recurrent infected walled off pancreatic necrosis after surgical necrosectomy.
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DOI：
10.4103/2303-9027.144544
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发表时间：
2014-10
影响因子：
4.5
通讯作者：
Teo EK
中科院分区：
文献类型：
--
作者：
Ang TL;Eu Kwek AB;Fock KM;Teo EK
一名 39 岁男性患上严重坏死性胆石性胰腺炎并并发感染性胰腺坏死。进行手术坏死组织切除术以控制持续的脓毒症。随后，在手术坏死切除部位，胰体和尾部区域再次出现受感染的坏死灶。他对静脉注射抗生素的保守治疗没有反应。进行胰管支架置入术治疗胰管漏，然后通过超声内镜引导插入大直径全覆盖自扩张金属支架以排出感染的积液。临床恢复迅速且完全。
A 39-year-old man developed severe necrotizing gallstone pancreatitis complicated by infected pancreatic necrosis. Surgical necrosectomy was performed to control the on-going sepsis. Subsequently, there was a recurrence of an infected necrotic collection at the site of surgical necrosectomy, in the region of the pancreatic body and tail. He did not respond to conservative treatment with intravenous antibiotics. Pancreatic duct stenting was performed to treat pancreatic duct leak, followed by endoscopic ultrasound guided insertion of a large diameter fully covered self-expandable metallic stent to drain the infected collection. There was rapid and complete clinical recovery.
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