ArticleACG case reports journal2026
Stent-Assisted Percutaneous Direct Endoscopic Necrosectomy in Necrotizing Pancreatitis With Multidrug-Resistant Infection and Portal Vein Thrombosis.
Article in ACG case reports journal, 2026. 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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4 authors.
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Abstract
Necrotizing pancreatitis with multidrug-resistant infection and portal vein thrombosis poses major therapeutic challenges. We report a critically ill 28-year-old man with walled-off pancreatic necrosis, portal and superior mesenteric vein thrombosis, and multidrug-resistant infection refractory to surgery, endoscopic retrograde cholangiopancreatography, and multiple percutaneous drainages. Percutaneous direct endoscopic necrosectomy using a mature surgical tract and stent-assisted working channel enabled 4-staged necrosectomy sessions with progressive source control, clinical recovery, and complete portal vein recanalization. This case highlights percutaneous direct endoscopic necrosectomy as a minimally invasive salvage option in complex necrotizing pancreatitis when surgery and transluminal approaches are high-risk or not feasible.
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