Prediction and management of bleeding during endoscopic necrosectomy for pancreatic walled-off necrosis: results of a large retrospective cohort at a tertiary referral center

Lumen-apposing metal stents (LAMSs) provide an endoscopic method for management of walled-off necrosis (WON) and a gateway for the performance of endoscopic necrosectomy (EN). However, bleeding may occur in up to 20% of EN procedures. Predictive factors for bleeding in this patient population are unknown, and there is no agreed-upon algorithm for management of bleeding. The aim of this study was to evaluate preprocedural risk factors for bleeding in patients undergoing endoscopic drainage or EN for WON.

Source: Gastrointestinal Endoscopy - October 18, 2021 Category: Gastroenterology Authors: Ian Holmes, Brianna Shinn, Shuji Mitsuhashi, Tina Boortalary, Muhammad Bashir, Thomas Kowalski, David Loren, Anand Kumar, Alexander Schlachterman, Austin Chiang Source Type: research