APPLICATION OF A LUMEN-APPOSING METAL STENT FOR GIANT WALLED-OFF NECROSIS ASSOCIATED WITH SEVERE ALCOHOLIC PANCREATITIS

Abstract

We report the case of a 59-year-old man. After multidisciplinary treatment was initiated for severe acute alcoholic pancreatitis, a giant walled-off necrosis developed. Percutaneous and transgastric drainage were ineffective. Thus, a lumen-apposing metal stent was used to improve the patientʼs condition in addition to performing transgastric drainage and endoscopic necrosectomy. The lumen-apposing metal stent has recently become available, and we report our initial experience of using it.