Linda Yan, Andrew Dargan, Jose Nieto, Reem Z Shariaha, Kenneth F Binmoeller, Douglas G Adler, Michael DeSimone, Tyler Berzin, Mandeep Swahney, Peter V Draganov, Dennis J Yang, David L Diehl, Lillian Wang, Asma Ghulab, Nausharwan Butt, Ali A Siddiqui
Background and Objectives: EUS-guided drainage, and direct endoscopic necrosectomy (DEN) of walled-off necrosis (WON) using a lumen-apposing metal stent (LAMS) is safe and effective. Early debridement of WON may improve overall clinical outcomes. The aim of this study is to perform a multicenter retrospective study to compare the clinical outcomes and predictors of success for endoscopic drainage of WON with LAMS followed by immediate or delayed DEN performed at standard intervals. Methods: Patients with WON managed by EUS-guided drainage with LAMS were divided into 2 groups: (1) those that underwent immediate DEN at the time of stent placement and (2) those that underwent delayed DEN 1 week after stent placement...
June 6, 2018: Endoscopic Ultrasound