TY - JOUR TT - Endoscopic necrosectomy in the treatment of wall-off necrosis: A case report AU - Akpınar, Muhammet Yener AU - Ödemiş, Bülent AU - Öztaş, Erkin AU - Çoşkun, Orhan AU - Kaplan, Mustafa PY - 2017 DA - April DO - 10.17940/endoskopi.315488 JF - Endoskopi Gastrointestinal PB - Türk Gastroenteroloji Vakfı WT - DergiPark SN - 1302-5422 SP - 21 EP - 23 VL - 25 IS - 1 KW - Endoskopik nekrozektomi KW - walled-off nekroz N2 - Walled-off necrosis is a serious complication of acute necrotizing pancreatitis.Clinically, walled-off necrosis can be asymptomatic or can lead to varioussymptoms, including fever, abdominal pain, and nausea. Nowadays,the choice of endoscopic necrosectomy as a treatment option for walled-offis increasing rapidly, in part because it is more effective than percutaneousdrainage. Also, the mortality rate is lower in walled-off than in surgical necrosectomy.Key words:  CR - Banks PA, Bollen TL, Dervenis C, et al; Acute Pancreatitis Classification Working Group. Classification of acute pancreatitis – 2012: revision of the Atlanta classification and definitions by international consensus. Gut 2013;62:102-11. CR - da Costa DW, Boerma D, van Santvoort HC, et al. Staged multidisciplinary step-up management for necrotizing pancreatitis. Br J Surg 2014;101:65-79. CR - Isayama H, Nakai Y, Rerknimitr R, et al. Asian consensus statement on endoscopic management of walled-off necrosis Part 1: Epidemiology, diagnosis, and treatment. J Gastroenterol Hepatol 2016;31:1546-54. CR - Adler DG, Siddiqui AA. What’s in a name? Pancreatic pseudocysts, walled- off necrosis, and pancreatic fluid collections. Endosc Ultrasound 2016;5:215-7. CR - Morgan DE, Baron TH, Smith JK, et al. Pancreatic fluid collections prior to intervention: evaluation with MR imaging compared with CT and US. Radiology 1997;203:773-8. CR - Takahashi N, Papachristou GI, Schmit GD. CT findings of walled-off pancreatic necrosis (WOPN): differentiation from pseudocyst and prediction of outcome after endoscopic Therapy. Eur Radiol 2008;18:2522-9. CR - van Santvoort HC, Bakker OJ, Bollen TL, et al; Dutch Pancreatitis Study Group. A conservative and minimally invasive approach to necrotizing pancreatitis improves outcome. Gastroenterology 2011;141:1254-63. CR - Voermans RP, Besselink MG, Fockens P. Endoscopic management of walled-off pancreatic necrosis. J Hepatobiliary Pancreat Sci 2015;22:20-6. CR - ASGE Standards of Practice Committee, Muthusamy VR, Chandrasekhara V, Acosta RD, et al. The role of endoscopy in the diagnosis and treatment of inflammatory pancreatic fluid collections. Gastrointest Endosc 2016;83:481-8. CR - Bang JY, Wilcox CM, Trevino J, et al. Factors impacting treatment outcomes in the endoscopic management of walled-off pancreatic necrosis. J Gastroenterol Hepatol 2013;28:1725-32. CR - van Brunschot S, Fockens P, Bakker OJ, et al. Endoscopic transluminal necrosectomy in necrotising pancreatitis: a systematic review. Surg Endosc 2014;28:1425-38. UR - https://doi.org/10.17940/endoskopi.315488 L1 - https://dergipark.org.tr/tr/download/article-file/305975 ER -