OTSG Xcavator® effective for removal of large necrotic debris

OTSG Xcavator® aided the efficient removal of large amounts of necrotic tissue in direct endoscopic necrosectomy (DEN)*

Key findings

• OTSG® Xcavator could remove large pieces of necrosum of between 10-15cm in length
• Complete resolution of necrosis was achieved in two sessions
• No adverse events occurred

Case details

• 63-year-old man with history of semaglutide-induced necrotizing pancreatitis leading to an infected walled-off necrotic collection
• DEN with traditional tools such as forceps, snares and suction were challenging due to the nature of the large, thick and pasty necrotic tissue adherent to the cyst wall
• After the procedure, LAMS were removed and replaced with plastic double-pigtail stents across the cystogastrostomy

Karna R, Arayakarnkul S, Wilson N, Bilal M. Successful necrosectomy using the over-the-scope grasping device: a tool for solid necrotic debris. Endoscopy. 2024;56(3):E957-E958. Doi: 10.1055/a-2443-4173

*The OTSG Xcavator® has not been approved by FDA for use in pancreatic necrosectomy