title: Transgastrically placed endoscopic vacuum-assisted closure system as an addition to transgastric necrosectomy in necrotizing pancreatitis (with video).
abstract: BACKGROUND
  Endoscopic transluminal débridement of infected pancreatic necrosis has been proved to be an important alternative to surgical débridement. Recently, endoscopic vacuum-assisted closure (EVAC) has been described as a new effective treatment option in upper intestinal anastomotic leaks.
  
  
  OBJECTIVE
  To test whether the EVAC can be applied to transgastrically accessible infected cavities.
  
  
  METHODS
  Single-center case study.
  
  
  METHODS
  Academic medical center.
  
  
  METHODS
  Two patients with necrotizing pancreatitis.
  
  
  METHODS
  Successful closure of leak.
  
  
  RESULTS
  We successfully applied EVAC to treat transgastrically accessible necrotic cavities.
  
  
  CONCLUSIONS
  Small case number.
  
  
  CONCLUSIONS
  EVAC might be an important additional endoscopic treatment option for infected pancreatic necrosis, especially if established endoscopic treatment options fail.
authors.affiliation: Department of Gastroenterology, Hepatology and Endocrinology, Medical School Hannover, Hannover, Germany. jochen.wedemeyer@krh.eu
authors.forename: Jochen
authors.initials: J
authors.lastname: Wedemeyer
authors.forename: Stefan
authors.initials: S
authors.lastname: Kubicka
authors.forename: Tim O
authors.initials: TO
authors.lastname: Lankisch
authors.forename: Thomas
authors.initials: T
authors.lastname: Wirth
authors.forename: Margret
authors.initials: M
authors.lastname: Patecki
authors.forename: Marcus
authors.initials: M
authors.lastname: Hiss
authors.forename: Michael P
authors.initials: MP
authors.lastname: Manns
authors.forename: Andrea S
authors.initials: AS
authors.lastname: Schneider
mesh_terms: D016145:Endoscopy, Digestive System / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D054843:Negative-Pressure Wound Therapy / Q000295:instrumentation / Q000379:methods*; D019283:Pancreatitis, Acute Necrotizing / Q000628:therapy*; D015503:Surgical Sponges