Endoscopic pancreatic necrosectomy: why scuff when you can flush the muck – make it an easy row to hoe

Abstract

EUS guided WON drainage with FCSEMS followed by necrosectomy with lavage using a solution containing hydrogen peroxide as a step-up approach is a minimally invasive and effective method with a high technical and clinical success rate. Patients with solid debris > 40 % need aggressive management.