经鼻囊肿壁全层持续冲洗成功治疗双侧壁包裹性坏死

Successful Treatment of Bilocular Walled-off Necrosis with Transmural Naso-cyst Continuous Irrigation.

作者信息

Matsuyama Mari, Matsuzawa Hisanori, Kimura Kazuya, Izumiya Yuki, Sugawara Kae, Tsuda Satoko, Tuji Tsuyotoshi, Nakane Kunio, Komatsu Masafumi, Iijima Katsunori

机构信息

Department of Gastroenterology, Akita City Hospital, Japan.

Department of Gastroenterology, Graduate School of Medicine, Akita University, Japan.

出版信息

Intern Med. 2025 Jan 15;64(2):195-200. doi: 10.2169/internalmedicine.3770-24. Epub 2024 Jun 6.

Recently, transmural naso-cyst continuous irrigation (TNCCI) has been reported as an effective and safe treatment for walled-off necrosis (WON). We herein report a case of bilocular WON that was successfully treated with TNCCI. The patient was a 60-year-old man. The patient underwent endoscopic ultrasound-guided cyst drainage of the main cavity and subcavity using a single transluminal gateway transcystic multiple drainage technique, which was ineffective. Subsequently, a lumen-apposing metal stent (LAMS) was placed in the main cavity and TNCCI was successfully performed in the subcavity. TNCCI with LAMS was effective in treating bilocular WON.