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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Updated: Apr 30, 2026

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
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Endoscopic necrosectomy in children.

Guru Trikudanathan1, Mustafa Arain, Shawn Mallery

  • 1Division of Gastroenterology, University of Minnesota, Minneapolis.

Journal of Pediatric Gastroenterology and Nutrition
|May 7, 2014
PubMed
Summary
This summary is machine-generated.

Endoscopic therapy is a viable treatment for children with necrotizing pancreatitis. Fully covered metallic stents may reduce the need for repeat endoscopic necrosectomy in pediatric patients with large necrotic collections.

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Area of Science:

  • Pediatric Gastroenterology
  • Minimally Invasive Surgery
  • Endoscopic Interventions

Background:

  • Necrotizing pancreatitis is a rare but serious complication in pediatric patients.
  • Endoscopic transluminal necrosectomy is the standard of care for adults but its pediatric application is not well-established.

Observation:

  • This study presents the first case series of pediatric patients with necrotizing pancreatitis treated successfully using endoscopic therapy.
  • The cases involved management of large necrotic collections.

Findings:

  • Successful endoscopic treatment was achieved in all pediatric patients reported.
  • The use of fully covered self-expanding metallic stents in cystgastrostomy was associated with a reduced need for repeat endoscopic necrosectomy sessions.

Implications:

  • Endoscopic therapy is feasible and effective for treating necrotizing pancreatitis in children.
  • Utilizing fully covered self-expanding metallic stents may optimize treatment outcomes and reduce healthcare resource utilization in pediatric necrotizing pancreatitis.