IMMEDIATE DIRECT ENDOSCOPIC NECROSECTOMY FOLLOWING ONE-STEP EXCHANGE FREE EUS-GUIDED DRAINAGE OF WALLED OFF PANCREATIC NECROSIS

EUS-guided drainage with Lumen Apposing Metal Stents (LAMS) and direct endoscopic necrosectomy (DEN) is an effective mininvasive treatment of infected or symptomatic WOPNs. It revealed a lower complication and mortality rate compared to surgery or percutaneous approach. The aim of our study is to evaluate efficacy and safety of EUS-guided drainage of infected WOPNs with a LAMS and immediate DEN in a consecutive cohort of patients.