title: Transpapillary drainage of pancreatic parenchymal necrosis.
abstract: In the last two decades the strategy of treatment of necrotizing pancreatitis has changed. Endoscopic therapy of patients with symptomatic walled-off pancreatic necrosis has a high rate of efficiency. Here we present a description of a patient with parenchymal limited necrosis of the pancreas and a disruption of the main pancreatic duct. In the treatment, active transpapillary drainage of the pancreatic necrosis (through the major duodenal papilla) was performed and insertion of an endoprosthesis into the main pancreatic duct (through the minor duodenal papilla) was applied, which enabled a bypass over the infiltration and resulted in complete resolution.
authors.affiliation: Department of Gastroenterology and Hepatology, Medical University of Gdansk, Gdansk, Poland.
authors.forename: Mateusz
authors.initials: M
authors.lastname: Jagielski
authors.affiliation: Department of Gastroenterology and Hepatology, Medical University of Gdansk, Gdansk, Poland.
authors.forename: Marian
authors.initials: M
authors.lastname: Smoczyński
authors.affiliation: Department of Gastroenterology and Hepatology, Medical University of Gdansk, Gdansk, Poland.
authors.forename: Krystian
authors.initials: K
authors.lastname: Adrych
keywords: acute pancreatitis; endoscopic drainage; transpapillary drainage; walled-off pancreatic necrosis