Percutaneous direct endoscopic pancreatic necrosectomy

Table 2 Indications of percutaneous direct endoscopic necrosectomy

Indications
< 2-4 wk-Infected acute pancreatic/peripancreatic collection in which percutaneous drainage is required early and infection persists even after percutaneous drainage alone
> 2-4 wk-Infected walled off pancreatic necrosis unsuitable for transmural drainage: (1) Location (Paracolic/pelvic extension); (2) Distance > 1 cm; (3) Coagulopathy; (4) Multiple collaterals-Endosonography guided can be done