Extended open transgastric necrosectomy in infected necrosis of pancreas using linear staplers.

Abstract

Necrosis of pancreatic parenchyma or peripancreatic tissue is termed necrotizing pancreatitis. Solid necrosis gradually liquefies and becomes surrounded by a capsule after 4weeks and is termed walled off necrosis. 20% of patients with acute pancreatitis develop and of this 25-70% develop infected necrosis. Mortality by infected necrosis is 10-25%. Treatment of infected necrosis involves necrosectomy. Here we report 5 cases of pancreatic necrosis that underwent Extended Open Transgastric Necrosectomy (EOTN) using linear staplers for anastomosis between posterior wall of stomach and pancreas. All the patients recovered well from surgery and there was no mortality, and no complications such as fistula or abscess