Endoscopic Necrosectomy of Walled-Off Necrosis following Severe Pancreatitis Using a Hot AxiosTM Stent – A Case Series | Zendy

Kilian Weigand | Zendy; Alexander Mehrl | Zendy; Holger Goessmann | Zendy; Martina Mueller | Zendy; Arne Kandulski | Zendy

Open Access

Endoscopic Necrosectomy of Walled-Off Necrosis following Severe Pancreatitis Using a Hot Axios<sup>TM</sup> Stent – A Case Series

Author(s) -

Kilian Weigand,

Alexander Mehrl,

Holger Goessmann,

Martina Mueller,

Arne Kandulski

Publication year - 2019

Publication title -

digestive diseases

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.879

H-Index - 66

eISSN - 1421-9875

pISSN - 0257-2753

DOI - 10.1159/000503991

Subject(s) - medicine , stent , surgery , necrotizing pancreatitis , pancreatitis , complication , necrosis , endoscopic treatment , lumen (anatomy) , endoscopy

Background: Walled-off necrosis is a common complication of severe pancreatitis. Guidelines recommend endoscopic transgastric necrosectomy as therapy of choice. Different endoscopic approaches are possible. Methods: We retrospectively analyzed our series of 9 patients where necrosectomy was performed after application of a lumen-apposing metal stent (LAMS) delivered using a Hot AxiosTM Stent device. Results: In all 9 cases, the walled-off necrosis resolved completely. Necrosectomy was performed through the LAMS (mean: 5.7 times). Endoscopic necrosectomy was repeated every 3rd–7th day using 10- or 15-mm snares. There were no major complications. Especially, no early or delayed bleeding was seen. Conclusion: The Hot AxiosTM Stent device is a safe method for necrosectomy of walled-off necrosis. It enables puncture, drainage, and LAMS insertion in a single delivery, followed by several courses of necrosectomy if needed without stent exchange.

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