Novel treatment for walled-off necrosis (WON)

WON in necrotising pancreatitis is estabilished by a thickened wall without epithelial living between the necrosis and the adjecent surviving tissue. For decompression of this fluid collection it is recomended to implant at least two 10F drains with nasocysticus drain for continuous lavage. The most common complication is occlusion of the drains with debris. Case I.: a 75 years old female was admitted to the hospital for acute necrotising pancreatitis some weeks earlier. WON occurred at the tail of pancreas with sepsis, and an EUS guided cystogastrostomy was performed. The irregularly shaped pancreatic collectio…