ISSN |
1007-9327 (print) and 2219-2840 (online) |
Open Access |
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ |
Copyright |
© The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved. |
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Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
Website |
http://www.wjgnet.com |
Category |
Gastroenterology & Hepatology |
Manuscript Type |
Case Report |
Article Title |
Modified single transluminal gateway transcystic multiple drainage technique for a huge infected walled-off pancreatic necrosis: A case report
|
Manuscript Source |
Unsolicited Manuscript |
All Author List |
Kosuke Minaga, Masayuki Kitano, Hajime Imai, Kentaro Yamao, Ken Kamata, Takeshi Miyata, Tomohiko Matsuda, Shunsuke Omoto, Kumpei Kadosaka, Tomoe Yoshikawa and Masatoshi Kudo |
Funding Agency and Grant Number |
Funding Agency |
Grant Number |
Japan Society for the Promotion of Science and the Japanese Foundation for the Research and Promotion of Endoscopy |
22590764 |
Japan Society for the Promotion of Science and the Japanese Foundation for the Research and Promotion of Endoscopy |
25461035 |
|
Corresponding Author |
Masayuki Kitano, MD, PhD, Department of Gastroenterology and Hepatology, Kinki University Faculty of Medicine, 377-2 Ohno-Higashi, Osaka-Sayama 589-8511, Japan. m-kitano@med.kindai.ac.jp |
Key Words |
Endoscopic ultrasonography; Infected pancreatic necrosis; Walled-off necrosis; Endoscopic ultrasonography-guided drainage; Acute pancreatitis |
Core Tip |
Walled-off necrosis (WON) remains difficult to endoscopically manage because of insufficient drainage of solid necrotic tissues. Here, we present a case of successful drainage of a huge WON via a modified single transluminal gateway transcystic multiple drainage technique. After placing a wide-caliber covered metal stent, follow-up computed tomography revealed an undrained subcavity of WON. A large fistula created by the metal stent enabled the insertion of an upper endoscope directly into the main cavity, and the narrow connection route within the main cavity to the subcavity was identified with a direct view, leading to the successful drainage of the subcavity. |
Publish Date |
2016-05-30 17:40 |
Citation |
Minaga K, Kitano M, Imai H, Yamao K, Kamata K, Miyata T, Matsuda T, Omoto S, Kadosaka K, Yoshikawa T, Kudo M. Modified single transluminal gateway transcystic multiple drainage technique for a huge infected walled-off pancreatic necrosis: A case report. World J Gastroenterol 2016; 22(21): 5132-5136 |
URL |
http://www.wjgnet.com/1007-9327/full/v22/i21/5132.htm |
DOI |
http://dx.doi.org/10.3748/wjg.v22.i21.5132 |