English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

A novel lumen-apposing self-expandable metal stent (LAMS; Axios EC; Boston Scientific Corp., Marlborough, Massachusetts, USA) that is able to create a stable communicating fistulous tract has simplified the performance of endoscopic necrosectomy for walled-off pancreatic necrosis (WOPN). A 44-year-old man with a 10-cm WOPN (>50% solid component) underwent successful endoscopic ultrasound (EUS)guided drainage with placement of a LAMS (15-mm wide×10-mm long). Balloon dilation of the central part of the stent up to 18mm was performed (▶Fig. 1 a), followed by removal of necrotic debris using various Dormia baskets (▶Fig. 1b; ▶Video1) and instillation of hydrogen peroxide into the cavity. The following day, the patient developed peritoneal signs and an abdominal computed tomography (CT) scan showed perforation of the wall of the WOPN on the opposite side to the position of the stent (▶Fig. 2). He underwent successful surgery. After the videos of the proceE-Videos

Endoscopic necrosectomy through a lumen-apposing metal stent resulting in perforation: is it time to develop dedicated accessories?