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

IF 1 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Internal Medicine Pub Date : 2025-01-15 Epub Date: 2024-06-06 DOI:10.2169/internalmedicine.3770-24

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

引用次数: 0

Abstract

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.

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经壁鼻腔-囊肿连续灌洗成功治疗双眼球壁脱落坏死：病例报告

最近有报道称，经壁鼻腔-膀胱持续灌注（TNCCI）是一种有效、安全的治疗穿壁坏死（WON）的方法。在此，我们报告了一例使用 TNCCI 成功治疗的双眼 WON 病例。患者是一名 60 岁的男性。患者接受了内镜超声引导下的主腔和腔下囊肿引流术，采用了单腔门径经囊多次引流技术，但效果不佳。随后，在主腔放置了一个腔隙贴壁金属支架（LAMS），并在子腔成功实施了 TNCCI。使用 LAMS 的 TNCCI 能有效治疗双腔 WON。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Internal Medicine 医学-医学：内科

CiteScore

1.90

自引率

8.30%

发文量

审稿时长

2.2 months

期刊介绍： Internal Medicine is an open-access online only journal published monthly by the Japanese Society of Internal Medicine. Articles must be prepared in accordance with "The Uniform Requirements for Manuscripts Submitted to Biomedical Journals (see Annals of Internal Medicine 108: 258-265, 1988), must be contributed solely to the Internal Medicine, and become the property of the Japanese Society of Internal Medicine. Statements contained therein are the responsibility of the author(s). The Society reserves copyright and renewal on all published material and such material may not be reproduced in any form without the written permission of the Society.