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- Sergio Pinto, Saverio Bellizzi, Roberta Badas, Maria Laura Canfora, Erica Loddo, Simone Spada, Kareem Khalaf, Alessandro Fugazza, and Silvio Bergamini.
- Digestive Endoscopy Unit, Department of Surgical Sciences, University Hospital of Cagliari, 09042 Cagliari, Italy.
- Medicina (Kaunas). 2021 Nov 28; 57 (12).
AbstractWalled-off pancreatic necrosis (WOPN) is one of the local complications of acute pancreatitis (AP). Several interventional techniques have been developed over the last few years. The purpose of this narrative review is to explore such methodologies, with specific focus on endoscopic drainage and direct endoscopic necrosectomy (DEN), through evaluation of their indications and timing for intervention. Findings indicated how, after the introduction of lumen-apposing metal stents (LAMS), DEN is becoming the favorite technique to treat WOPN, especially when large solid debris or infection are present. Additionally, DEN is associated with a lower adverse events rate and hospital stay, and with improved clinical outcome.
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