The growing applicability of transluminal endotherapy in organized pancreatic necrotic collections

Abstract

Acute necrotizing pancreatitis is a serious condition with multiple possible causes. In a proportion of patients it complicates with development of necrotic peripancreatic collections and in some cases these become infected. The latter is a strong indication for aggressive treatment, which has classically been laparotomy with open necrosectomy. Surgery has major possible complications yielding a field for alternative treatment options such as endoscopic drainage and more recently direct debridement through transluminal orifices. This report describes interventional endoscopy to treat two patients with large peripancreatic necrotic and infected collections, focusing on its advantages, limitations and future indications.