Treatment of Pancreatic Abscess with Endoscopic Ultrasound-guided Placement of a Covered Metal Stent Following Failed Balloon Dilation and Endoscopic Necrosectomy

For the management of pancreatic abscess, endoscopic ultrasound (EUS)-guided puncture and drainage has become recognized asa safer and more effective alternative to surgery. Typically, a double-pigtail plastic stent is placed for drainage. When an abscess iscomplicated by infected necrosis, endoscopic evacuation is essential. However, endoscopic evacuation carries a high risk of hemorrhageand needs to be performed daily to be effective. We describe EUS-guided endoscopic evacuation and placement of a fullycovered metal stent following two failed evacuations. Patient recovery time was excellent, and no complications occurred.