Transgastric endoscopic necrosectomy for an infected walled-off pancreatic necrosis with a high flow waterjet system and a temporarily placement of a self expanding metal stent to…

Background and aims: Walled-off pancreatic necrosis (WOPNEC) and pancreatic abscess (PABSC) are the most severe complications of acute pancreatitis (AP). Surgery is associated with a significant morbidity and mortality in these critically ill patients within the first 30 days of the onset of AP. Endoscopic therapy may offer a safer alternative treatment modality. Case report: A 63-ys-old female referred to our department due to a severe episode of biliary AP (Amy: 2262, WBC: 26, CRP: 109). An emergency ERCP, EST and stone extraction was performed within 24h after the onset of AP. Two days later she was transmitt…