ArticleCureus2025
Endoscopic Staged Management of Large Pancreatic Walled-Off Necrosis in a Pediatric Patient.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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0 citing papers in PubMed.
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Walled-off pancreatic necrosis (WON) is an encapsulated collection that develops as a late sequela of acute necrotizing pancreatitis, typically after four to six weeks. In children, large WON is rare but can be life-threatening due to secondary infection, multiorgan involvement, or compression of adjacent structures. Traditional surgical necrosectomy carries significant morbidity; however, minimally invasive endoscopic ultrasound (EUS)-guided interventions have emerged as a safe and effective alternative. We report a 12-year-old boy with a history of obesity and fatty liver disease who developed severe acute pancreatitis complicated by ascites and pleural effusion. After initial recovery, he presented with persistent abdominal pain and was found to have a large multiloculated pancreatic collection measuring approximately 14 × 14 × 15 cm consistent with walled-off necrosis. EUS-guided cystogastrostomy was performed using a 15 mm lumen-apposing metal stent (LAMS), draining purulent material that cultured
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