Clin Endosc.  2024 May;57(3):412-414. 10.5946/ce.2023.120.

Use of an endoscopic powered debridement device for treatment of post-surgical fatty pancreatic necrosis

• Daboul J
• Mussad S
• Amaral AC
• Hussain WK
• Lee PJ
• Han S

• KMID: 2555905
• DOI: http://doi.org/10.5946/ce.2023.120

Figure

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  Fig. 1. Pancreatic necrosis with strands of fatty tissue (A) with unearthing of percutaneous drain during necrosectomy (B), with further clearance of necrosis alongside the drain (C), and large amounts of necrotic tissue removed at the completion of two necrosectomy sessions (D).

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  Fig. 2. Debridement of necrotic tissue using the powered debridement device.

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  Fig. 3. Side by side comparison of the two sizes of the powered debridement device with the 3.2-mm catheter on top and 6.0-mm catheter below (provided courtesy of Interscope Inc.).

Reference

1. Baron TH, DiMaio CJ, Wang AY, et al. American Gastroenterological Association clinical practice update: management of pancreatic necrosis. Gastroenterology. 2020; 158:67–75.

2. Ciprani D, Bannone E, Marchegiani G, et al. Progression from biochemical leak to pancreatic fistula after distal pancreatectomy. Don't cry over spilt amylase. Pancreatology. 2022; 22:817–822.

3. Oh CH, Lee JK, Song TJ, et al. Clinical practice guidelines for the endoscopic management of peripancreatic fluid collections. Clin Endosc. 2021; 54:505–521.

4. Stassen PM, de Jonge PJ, Bruno MJ, et al. Safety and efficacy of a novel resection system for direct endoscopic necrosectomy of walled-off pancreas necrosis: a prospective, international, multicenter trial. Gastrointest Endosc. 2022; 95:471–479.

5. van der Wiel SE, Poley JW, Grubben MJ, et al. The EndoRotor, a novel tool for the endoscopic management of pancreatic necrosis. Endoscopy. 2018; 50:E240–E241.