Endoscopic Ultrasound-Guided Drainage of Infected Walled Off Pancreatic Necrosis

Abstract: Infected walled off necrosis of the pancreas is the dreaded complication following an acute necrotizing pancreatitis. It is associated with high morbidity and mortality due to sepsis, SIRS and multiorgan failure which can result in death. Surgical open necrosectomy is associated with increased morbidity. Currently endoscopic ultrasound guided drainage has become a minimally invasive approach for this serious condition. We report a case in which the infected walled off necrosis was treated by endoscopic ultrasound guided drainage and necrosectomy with complete resolution of this condition without any serious adverse effects. Keywords: endoscopic ultrasound (EUS), walled-off necrosis (WON), alcoholic pancreatitis, necrosectomy, lumen apposing metal stent (LAMS)