Top tips for endoscopic drainage and debridement of walled-off pancreatic necrosis (with videos)

Post written by Douglas G. Adler, MD, FACG, AGAF, FASGE, Director of the Center for Advanced Therapeutic Endoscopy (CATE), Porter Adventist Hospital, PEAK Gastroenterology, Centura Health, Denver, Colorado, USA.

This Top Tips article is designed to give readers a lot of really useful and practical information in a very short amount of text.


Access, drainage, and debridement of pancreatic necrosis is a complex, time-consuming, and (at times) risky endeavor, and physicians need to understand what they are getting into and how to best proceed.  

Even in 2022, endoscopic practice for these patients remains far from standardized, and this will likely remain the case for some time. Mistakes can be made when caring for these patients, but mistakes can potentially be avoided. Care needs to be highly individualized and tailored to the specific anatomic issues and peculiarities of each patient.

I hope that readers of this article receive a solid overview of how I think about approaching these patients and find the tips and tricks that I suggest useful in their own practice. I have been performing these procedures (in one form or another) for 2 decades and still find them to be fascinating and clinically rewarding.

Adler_figurePancreatic fluid collection/walled-off necrosis cavity containing liquid, solid necrotic contents, and some food debris.

Read the full article online.

The information presented in Endoscopedia reflects the opinions of the authors and does not represent the position of the American Society for Gastrointestinal Endoscopy (ASGE). ASGE expressly disclaims any warranties or guarantees, expressed or implied, and is not liable for damages of any kind in connection with the material, information, or procedures set forth.

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