Top tips for endoscopic drainage and debridement of walled-off pancreatic necrosis (with videos)

It seems like only yesterday that pancreatic necrosis was primarily treated with surgical approaches. Endoscopic therapy for pancreatic necrosis was initially developed by a small number of pioneers, but the last decade has seen a plethora of prospective, randomized studies comparing surgery with endoscopy and the winner is clear: Endoscopic therapy produces equal or superior outcomes to surgery.1,2 The introduction of lumen-apposing metal stents (LAMSs) has also greatly facilitated the dissemination of these procedures into the hands of interventional endosonographers.