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Surgical necrosectomy in patients with pancreatic necrosis has been associated with pancreaticocutaneous fistula formation. To determine whether percutaneous drainage followed immediately by endoscopic abscess drainage could prevent fistula formation and eliminate the need for surgical necrosectomy, investigators conducted a retrospective study involving 15 patients with organized pancreatic necrosis who underwent this combined-modality drainage technique at a single tertiary care center. Necromas occurred within 2 cm of the gastric or duodenal lumen in all patients and were located in the entire pancreas in seven patients, in the body and tail in seven, and in the body alone in one.
Patients underwent computed tomography (CT)-guided percuta…