Candidemia after endoscopic therapy with lumen-apposing metal stent for pancreatic walled-off necrosis
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Necrotizing pancreatitis remains a challenging and unpredictable condition accompanied by various complications. Endoscopic ultrasound-guided transmural drainage and necrosectomy have become the standard treatment for patients with walled-off necrosis (WON). Endoscopic therapy via lumen-apposing metal stents (LAMS) with large diameters has shown success in the management of pancreatic fluid collections, but there are few data on specific complications of that therapy. We report a case of infected WON and concomitant fungemia following LAMS placement and necrosectomy. In addition, a systematic literature review of current related studies has been provided.
KeywordsNecrotizing pancreatitis Walled-off necrosis Endoscopic necrosectomy Candida
Compliance with ethical standards
Conflict of interest
Tajana Pavic, Davor Hrabar, Dominik Kralj, Ivan Lerotic and Doris Ogresta declare that they have no conflict of interest.
All procedures followed have been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.
Informed consent was obtained from all patients for being included in the study.
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