Direct Endoscopic Necrosectomy

  • Todd H. BaronEmail author


Over the last 20 years there have been refinements in the understanding and nomenclature of acute pancreatitis. Over a several week period following the onset of acute necrotizing pancreatitis, the necrosis becomes demarcated and organized. The term walled-off necrosis (WON) is now an accepted term. Endoscopic approaches have evolved from creation of small transmural tracts into the WON with irrigation to the creation of large transmural tracts, which allow flexible endoscopes to be advanced directly into the necrotic cavity to perform direct endoscopic necrosectomy (DEN). This chapter concentrates on DEN for WON.


Acute Pancreatitis Pancreatic Necrosis Flexible Endoscope Gastric Outlet Obstruction Posterior Gastric Wall 
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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Division of Gastroenterology and HepatologyUniversity of North Carolina at Chapel HillChapel HillUSA

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