A CT scan showed a nonfunctional percutaneous drain placed into a peripancreatic collection. The patient refused further surgical treatment, and an endoscopic approach was offered. Under fluoroscopic control, a 0.035 Jag guidewire (Boston Scientific, Natick, Mass, USA) was advanced through the percutaneous drain securing access to the collection. We used the Seldinger technique to remove the drain, and an esophageal 10 x 18-cm partially covered self-expandable metal stent was placed after balloon dilation of the abdominal wall fistula to 10 mm by using a CRE (controlled radial expansion) balloon (Boston Scientific, Natick, Mass, USA). This allowed better drainage, continuous lavage, and endoscopic pancreatic necrosectomy. Once permanent access was secured through the stent, the patient underwent continuous lavage with 1000 mL/day of saline solution.
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机译：CT扫描显示无功能的经皮引流管置入胰周收集物中。该患者拒绝进一步的手术治疗，并提供了内窥镜检查方法。在荧光检查的控制下，将0.035 Jag导丝（美国麻萨诸塞州内蒂克的波士顿科学公司）推入，穿过经皮引流管，以确保进入收集器。我们使用Seldinger技术去除引流管，并在腹腔瘘管气囊扩张至10 mm后，通过使用CRE（受控径向扩张）气囊（波士顿）将食管10 x 18-cm部分覆盖的自扩张金属支架置入科学，美国马萨诸塞州内蒂克）。这样可以更好地引流，连续灌洗和内镜下胰腺坏死切除术。一旦通过支架确保永久性进入，就用1000 mL /天的盐溶液连续灌洗患者。
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