Endoskopická drenáž infikované ohraničené pankreatické nekrózy s komplikovaným průběhem – kazuistika
Diana Hexspoor Bawadekji1, Tomáš Tichý1, Ondřej Urban Orcid.org 2,3, Přemysl Falt Orcid.org 4,3
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Summary
This report describes a 55-year-old patient, who was transferred from a regional hospital for acute severe necrotizing pancreatitis complicated by the development of large, infected, walled-off pancreatic necrosis. Because of severe septic shock with high perioperative risk and multiorgan failure requiring artificial lung ventilation, the patient underwent endoscopic transgastric drainage of the walled-off pancreatic necrosis using a metallic lumen apposition stent. Efficient drainage and repeated endoscopic necrectomy resulted in overall gradual improvements in patient condition. Due to the complete regression of fluid collection after 5 weeks the metallic stent was extracted. The patient was fully realimented and rehabilitated after 2 months of hospitalization and was transferred to ambulatory care.
Key words: acute pancreatits – drainage – endoskopy – pancreatic necrosis – stent
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