Trans-gastric endoscopic drainage using a large balloon for pancreatic necrosis and abscess - two case reports

Reports on endoscopic treatment for pancreatic necrosis and pancreatic abscess have occasionally been published in recent years. Single treatments using endoscopic transpapillary or transumural drainage were originally used, but these were frequently changed to surgical therapy. In recent years, attempts have been made, such as the use of a combination of transmural and transpapillary approaches, the balloon dilatation of the cystgastrostoma, and a daily endoscopic necrosectomy and saline solution lavage, and the treatment results have thus been improved, even though the number of cases is low. We performed transmural endoscopic ultrasonography (EUS)-guided drainage without a necrosectomy in two cases with pancreatic necrosis and abscess, and treated cases in which a continuous closed lavage using a tube with a large diameter was effective, and we herein report our findings.