Endoscopic and Percutaneous Drainage of Symptomatic Walled-Off Pancreatic Necrosis Reduces Hospital Stay and Radiographic Resources  Michael Gluck, Andrew Ross, Shayan Irani, Otto Lin, Ellen Hauptmann, Justin Siegal, Mehran Fotoohi, Robert Crane, David Robinson, Richard A. Kozarek  Clinical Gastroenterology and Hepatology  Volume 8, Issue 12, Pages 1083-1088 (December 2010) DOI: 10.1016/j.cgh.2010.09.010 Copyright © 2010 AGA Institute Terms and Conditions

Figure 1 CT scan of patient with WOPN before CMT showing dilated common duct (arrowhead) and WOPN (white circles). Clinical Gastroenterology and Hepatology 2010 8, 1083-1088DOI: (10.1016/j.cgh.2010.09.010) Copyright © 2010 AGA Institute Terms and Conditions

Figure 2 CT scan of same patient 1 week later demonstrating transgastric endoscopically placed stents (white arrowhead) and air in WOPN caused by procedures (white diamond). Clinical Gastroenterology and Hepatology 2010 8, 1083-1088DOI: (10.1016/j.cgh.2010.09.010) Copyright © 2010 AGA Institute Terms and Conditions

Figure 3 Pancreatogram of same patient demonstrating disruption at genu near transgastric stents (black circle), transgastric endoscopically placed stents (black arrow point), biliary stent (black square), and contrast extravasation at disrupted pancreatic duct (white arrowhead). Clinical Gastroenterology and Hepatology 2010 8, 1083-1088DOI: (10.1016/j.cgh.2010.09.010) Copyright © 2010 AGA Institute Terms and Conditions

Figure 4 Same patient 4 months after CMT for WOPN: resolution of fluid collections and areas of necrosis. Percutaneous drain was removed 1 month earlier. Resolved WOPN with necrogastrostomy stents in place (large white arrow). Insert demonstrates residual pancreatic parenchyma (small white arrow). Clinical Gastroenterology and Hepatology 2010 8, 1083-1088DOI: (10.1016/j.cgh.2010.09.010) Copyright © 2010 AGA Institute Terms and Conditions