Stepwise management of a large haemorrhagic walled off necrosis

Published: 04/27/2016

Stepwise management of a large haemorrhagic walled-off necrosis involved insertion of a large-bore percutaneous drain followed by endoscopic ultrasonography and internal drainage using the multiple transluminal gateway technique. Percutaneous necrosectomy was later performed, with excellent clinical outcome. From: Outcomes after implementing a tailored endoscopic step-up approach to walled-off necrosis in acute pancreatitis (Br J Surg 2014; 101: 1729–1738).