{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T07:55:34Z","timestamp":1767858934401,"version":"3.49.0"},"reference-count":10,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,3,20]],"date-time":"2017-03-20T00:00:00Z","timestamp":1489968000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Medical Faculty of the Technical University Dresden"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Digestive Endoscopy"],"published-print":{"date-parts":[[2017,5]]},"abstract":"<jats:p>Minimally invasive or endoscopic transluminal drainage and necrosectomy are the standard of care for infected pancreatic fluid collections and necroses after pancreatitis. In an endoscopic treatment algorithm, necroses beyond the reach of safe endoscopic access are typically treated by percutaneous drainage. We aimed to evaluate percutaneous minimally invasive necrosectomy using a purely endoscopic technique in patients with extensive necrosis. In patients with necroses beyond safe transluminal reach, the percutaneous drainage canal was used for flexible endoscopic access and dilatation of the tract to 20 mm. Percutaneous endoscopic necrosectomy was carried out through this canal. We present a case series of 14 patients in whom between one and four necrosectomy (median two) sessions were done to remove solid necroses successfully in 13 out of 14 patients. There were no major complications apart from one patient with abdominal compartment syndrome secondary to delayed erosion of the splenic artery. Percutaneous flexible necrosectomy might evolve into an alternative to surgical minimally invasive necrosectomy in anatomical sites beyond transluminal endoscopic reach.<\/jats:p>","DOI":"10.1111\/den.12817","type":"journal-article","created":{"date-parts":[[2017,1,23]],"date-time":"2017-01-23T12:03:21Z","timestamp":1485173001000},"page":"377-382","source":"Crossref","is-referenced-by-count":12,"title":["Flexible percutaneous endoscopic retroperitoneal necrosectomy as rescue therapy for pancreatic necroses beyond the reach of endoscopic ultrasonography: A case series"],"prefix":"10.1111","volume":"29","author":[{"given":"Christian","family":"J\u00fcrgensen","sequence":"first","affiliation":[{"name":"Department of Hepatology and Gastroenterology Charit\u00e9 University Medicine Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Br\u00fcckner","sequence":"additional","affiliation":[{"name":"Medical Department 1 University Hospital Dresden, Technical University Dresden (TUD) Dresden Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie","family":"Reichel","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Hepatology and General Internal Medicine Wald\u2010Klinikum General Hospital Gera Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maik","family":"Kilian","sequence":"additional","affiliation":[{"name":"Department of General, Visceral, Vascular and Thoracic Surgery Charit\u00e9 University Medicine Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sven","family":"Pannach","sequence":"additional","affiliation":[{"name":"Department of Hepatology and Gastroenterology Charit\u00e9 University Medicine Berlin Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marius","family":"Distler","sequence":"additional","affiliation":[{"name":"Department of Visceral, Thoracic and Vascular Surgery University 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