Table 2.
Characteristics
|
Case 1
|
Case 2
|
Case 3
|
Case 4
|
Case 5
|
Successful EGF | No. Non-adherence of encapsulated WON to the gastric wall. Stent placement also failed, so a nasocystic drainage tube was inserted instead | Yes | Yes | Yes | Yes |
Fenestration sites | Posterior wall between gastric antrum and body | Upper posterior wall of gastric body | Greater curvature of gastric fundus | Posterior wall of gastric antrum | Posterior wall between gastric antrum and body |
Diameter of fenestration sites (cm) | - | 2 | 1.5 | 2.5 | 3 |
Total procedure time (min) | 178 | 162 | 117 | 94 | 123 |
EUS assessment time (min) | 80 | 53 | 20 | 33 | 23 |
Total fenestration time (min) | 35 | 75 | 60 | 42 | 70 |
Initial fenestration (by ESD approach) time (min) | 35 | 52 | 19 | 16 | 28 |
Expanded fenestration time (min) | - | 23 | 41 | 26 | 42 |
WON fluid drainage time (min) | - | 5 | 17 | 13 | 20 |
WON exploration and necrosectomy time (min) | - | 27 | 20 | 6 | 10 |
Intraoperative fluid collection of WON (mL) | 40 cloudy brown liquid | 500 light gray liquid | 1000 cloudy brown liquid | 400 light gray liquid | 1300 yellowish pus |
Endoscopic procedural cost ($) | 3549.1 | 2136.4 | 2381.4 | 2096.7 | 1941.5 |
EGF: Endoscopic gastric fenestration; WON: Walled-off necrosis; EUS: Endoscopic ultrasound; ESD: Endoscopic submucosal dissection.