Elsevier

The Lancet

Volume 356, Issue 9230, 19 August 2000, Pages 653-655
The Lancet

Research Letters
Retroperitoneal endoscopic debridement for infected peripancreatic necrosis

https://doi.org/10.1016/S0140-6736(00)02611-8Get rights and content

Summary

Standard management of infected peripancreatic necrosis consists of open surgical debridement and lavage-a traumatic intervention with substantial morbidity and mortality. As an alternative and novel approach with minimum invasiveness, we present fenestration of the gastric wall and debridement of infected necrosis by direct retroperitoneal endoscopy. In three patients, this strategy led to rapid clinical improvement and no serious complications. Transgastric endoscopic therapy may be a less traumatic alternative to surgery and should be further assessed in prospective studies.

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