Volume 4, Issue 1, Pages (January 2019)

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Presentation transcript:

Volume 4, Issue 1, Pages 27-28 (January 2019) Large-caliber metal stent controls significant entry site bleeding during EUS-guided drainage of walled-off necrosis Radhika Chavan, MD, DNB, Jahangeer Basha, MD, DM, Sundeep Lakhtakia, MD, DM, Zaheer Nabi, MD, DNB, D. Nageshwar Reddy, MD, DM VideoGIE Volume 4, Issue 1, Pages 27-28 (January 2019) DOI: 10.1016/j.vgie.2018.09.010 Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 Contrast-enhanced CT view showing large walled-off necrosis almost replacing body and tail of pancreas. VideoGIE 2019 4, 27-28DOI: (10.1016/j.vgie.2018.09.010) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 EUS view of walled-off necrosis with little debris. VideoGIE 2019 4, 27-28DOI: (10.1016/j.vgie.2018.09.010) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 3 After puncture with regular FNA needle, echogenic jet entering into the cavity from puncture site suggests bleeding. VideoGIE 2019 4, 27-28DOI: (10.1016/j.vgie.2018.09.010) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 4 Doppler US view showing mega jet after cystotome insertion, producing “fire-breathing” appearance. VideoGIE 2019 4, 27-28DOI: (10.1016/j.vgie.2018.09.010) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 5 Endoscopic view showing plastic stent within metal stent, with no active oozing and minimal fresh blood in stomach. VideoGIE 2019 4, 27-28DOI: (10.1016/j.vgie.2018.09.010) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions