Open AccessModified single transluminal gateway transcystic multiple drainage technique for a huge infected walled-off pancreatic necrosis: A case report
Author(s) -
Kosuke Minaga,
Masayuki Kitano,
Hisao Imai,
Kentaro Yamao,
Ken Kamata,
Takeshi Miyata,
Tomokazu Matsuda,
Shunsuke Omoto,
Kumpei Kadosaka,
Tomoe Yoshikawa,
Masatoshi Kudo
Publication year - 2016
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v22.i21.5132
Subject(s) - stent , medicine , drainage , fistula , surgery , ultrasonography , gateway (web page) , radiology , computer science , biology , ecology , world wide web
We report a successful endoscopic ultrasonography-guided drainage of a huge infected multilocular walled-off necrosis (WON) that was treated by a modified single transluminal gateway transcystic multiple drainage (SGTMD) technique. After placing a wide-caliber fully covered metal stent, follow-up computed tomography revealed an undrained subcavity of WON. A large fistula that was created by the wide-caliber metal stent enabled the insertion of a forward-viewing upper endoscope directly into the main cavity, and the narrow connection route within the main cavity to the subcavity was identified with a direct view, leading to the successful drainage of the subcavity. This modified SGTMD technique appears to be useful for seeking connection routes between subcavities of WON in some cases.