• Internal medicine · Jun 2024

    Successful Treatment of Bilocular Walled-off Necrosis with Transmural Naso-cyst Continuous Irrigation: A Case Report.

    • Mari Matsuyama, Hisanori Matsuzawa, Kazuya Kimura, Yuki Izumiya, Kae Sugawara, Satoko Tsuda, Tsuyotoshi Tuji, Kunio Nakane, Masafumi Komatsu, and Katsunori Iijima.
    • Department of Gastroenterology, Akita City Hospital, Japan.
    • Intern. Med. 2024 Jun 6.

    AbstractRecently, transmural naso-cyst continuous irrigation (TNCCI) has been reported as an effective and safe treatment for walled-off necrosis (WON). We herein report a case of bilocular WON that was successfully treated with TNCCI. The patient was a 60-year-old man. The patient underwent endoscopic ultrasound-guided cyst drainage of the main cavity and subcavity using a single transluminal gateway transcystic multiple drainage technique, which was ineffective. Subsequently, a lumen-apposing metal stent (LAMS) was placed in the main cavity and TNCCI was successfully performed in the subcavity. TNCCI with LAMS was effective in treating bilocular WON.

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