Percutaneous direct endoscopic pancreatic necrosectomy

Figure 5 Drainage tract dilation and placement of a self-expandable metal stent. A: Coiling of the guide-wire along with contrast in walled off pancreatic necrosis (WOPN); B: Dilation of the drainage tract with Amplatz dilators over the guide-wire; C: An esophageal fully covered self- expandable metal stent (SEMS) secured to the skin with sutures; D: A 7 F irrigation catheter in WOPN through a fully covered SEMS; E: A stoma bag secured in place over fully covered SEMS with a 7 F irrigation catheter in place.