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Volume 4, Issue 5, Pages (May 2019)

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Presentation on theme: "Volume 4, Issue 5, Pages (May 2019)"— Presentation transcript:

1 Volume 4, Issue 5, Pages 220-222 (May 2019)
Endoscopic replacement technique for migrated lumen-apposing metal stent during endoscopic pancreatic necrosectomy  Mitsuru Okuno, MD, PhD, Tsuyoshi Mukai, MD, PhD, Hironao Ichikawa, MD, Takuji Iwashita, MD, PhD, Eiichi Tomita, MD, PhD  VideoGIE  Volume 4, Issue 5, Pages (May 2019) DOI: /j.vgie Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

2 Figure 1 A, Contrast-enhanced CT view showing the largely encapsulated collection with enhancing wall in the bed of the whole pancreas. B, EUS view showing the debris in the encapsulated collection. VideoGIE 2019 4, DOI: ( /j.vgie ) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

3 Figure 2 EUS view showing deployment of the distal flange of the lumen-apposing metal stent in the walled-off necrosis. VideoGIE 2019 4, DOI: ( /j.vgie ) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

4 Figure 3 A, Endoscopic and (B) fluoroscopic images showing placement of double-pigtail plastic stent within the lumen-apposing metal stent between the stomach lumen and the walled-off necrosis. VideoGIE 2019 4, DOI: ( /j.vgie ) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

5 Figure 4 Use of 5-prong forceps to catch spongy necrotic tissue.
VideoGIE 2019 4, DOI: ( /j.vgie ) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions

6 Figure 5 CT scan 1 month after the final endoscopic necrosectomy, showing disappearance of the cavity of the walled-off necrosis. VideoGIE 2019 4, DOI: ( /j.vgie ) Copyright © 2019 American Society for Gastrointestinal Endoscopy Terms and Conditions


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