Endorotor-Based Endoscopic Necrosectomy as a Rescue or Primary Treatment of Complicated Walled-off Pancreatic Necrosis. A Case Series

Authors

  • Gianenrico Rizzatti Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome; CERTT, Center for Endoscopic Research Therapeutics and Training, Catholic University, Rome, Italy
  • Mihai Rimbas Gastroenterology and Internal Medicine Departments, Colentina Clinical Hospital, Carol Davila University of Medicine, Bucharest, Romania
  • Michele Impagnatiello Internal Medicine and Gastroenterology Division, Fondazione Policlinico Universitario A. Gemelli IRCCS – Università Cattolica del Sacro Cuore, Rome, Italy
  • Antonio Gasbarrini Internal Medicine and Gastroenterology Division, Fondazione Policlinico Universitario A. Gemelli IRCCS – Università Cattolica del Sacro Cuore, Rome, Italy
  • Guido Costamagna Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome; CERTT, Center for Endoscopic Research Therapeutics and Training, Catholic University, Rome, Italy
  • Alberto Larghi Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome; CERTT, Center for Endoscopic Research Therapeutics and Training, Catholic University, Rome, Italy

DOI:

https://doi.org/10.15403/jgld-2534

Keywords:

endoscopic necrosectomy, walled-off pancreatic necrosis, acute pancreatitis, Endorotor

Abstract

Direct endoscopic necrosectomy (DEN) is a cumbersome, time-consuming procedure that can be necessary in cases of infected pancreatic walled-off necrosis (WON) not responding to endoscopic ultrasound (EUS)- guided drainage only. Until now, DEN has been performed with non-dedicated devices, thus requiring multiple, long-lasting sessions to achieve adequate clearance of necrotic content. These results in prolonged hospital stay, increased costs and have potential consequences for patients who must undergo multiple endoscopic interventions under sedation. We report four cases of DEN performed in patients with WON after EUS-guided drainage with the Endorotor system, a new morcellator device specifically designed to perform the procedure.

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Published

2020-10-27

How to Cite

1.
Rizzatti G, Rimbas M, Impagnatiello M, Gasbarrini A, Costamagna G, Larghi A. Endorotor-Based Endoscopic Necrosectomy as a Rescue or Primary Treatment of Complicated Walled-off Pancreatic Necrosis. A Case Series. JGLD [Internet]. 2020 Oct. 27 [cited 2026 Feb. 10];29(4):681-4. Available from: https://jgld.ro/jgld/index.php/jgld/article/view/2534

Issue

Vol. 29 No. 4: December 2020

Section

Case Reports