Pavic Tajana, Hrabar Davor, Kralj Dominik, Lerotic Ivan, Ogresta Doris
Department of Gastroenterology and Hepatology, Clinical Hospital Center Sestre Milosrdnice, School of Medicine, University of Zagreb, 10000, Zagreb, Croatia.
Clin J Gastroenterol. 2018 Jun;11(3):206-211. doi: 10.1007/s12328-018-0823-y. Epub 2018 Jan 30.
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.
坏死性胰腺炎仍然是一种具有挑战性且不可预测的疾病，并伴有各种并发症。内镜超声引导下经壁引流和坏死组织清除术已成为包裹性坏死（WON）患者的标准治疗方法。通过大口径全层金属支架（LAMS）进行内镜治疗在胰腺液体积聚的管理中已显示出成效，但关于该治疗特定并发症的数据较少。我们报告了一例在放置LAMS和进行坏死组织清除术后发生感染性WON并伴有真菌血症的病例。此外，还提供了对当前相关研究的系统文献综述。
