title: Transoralgastric gastroscopic debridement for peripancreatic abscess: a special case report.
abstract: Transoralgastric debridement for pancreatic abscess is one of the successful applications of NOTES in clinical practice. We present a case report as follows: a 71-year-old female was hospitalized due to acute biliary pancreatitis. Three weeks after onset, the secondary abdominal CT showed a peripancreatic abscess. A passageway between the gastric wall and the abscess was made with a high-frequency puncher under the guidance of an ultrasonic gastroscope and then a gastroscope was directly inserted into the abscess, and a large amount of solid necrotic tissue was taken out with foreign body forceps and snare under the direct vision of a gastroscope. Then a 8.5F double-J stent and a nasobiliary drainage tube were inserted. After three times of intra-abdominal abscess debridement and repeated rinsing with an antibiotic solution, abdominal CT revealed the intra-abdominal abscess nearly disappeared and the patient discharged from hospital.
authors.affiliation: Department of Gastroenterology, Third Military Medical University, Chongqing, China. wxw2028@126.com
authors.forename: Xing-Wei
authors.initials: XW
authors.lastname: Wang
authors.forename: Chao-Qiang
authors.initials: CQ
authors.lastname: Fan
authors.forename: Lei
authors.initials: L
authors.lastname: Wang
authors.forename: Hong
authors.initials: H
authors.lastname: Guo
authors.forename: Xia
authors.initials: X
authors.lastname: Xie
authors.forename: Guo-Ce
authors.initials: GC
authors.lastname: Zhao
authors.forename: Xiao-Yan
authors.initials: XY
authors.lastname: Zhao
mesh_terms: D000038:Abscess / Q000000981:diagnostic imaging / Q000601:surgery*; D000368:Aged; D003646:Debridement / Q000379:methods*; D005260:Female; D005773:Gastroscopy / Q000379:methods*; D006801:Humans; D010182:Pancreatic Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D018084:Ultrasonography, Interventional