10.6084/m9.figshare.10303778.v1 Weigand K. Weigand K. Mehrl A. Mehrl A. Goessmann H. Goessmann H. Mueller M. Mueller M. Kandulski A. Kandulski A. Supplementary Material for: Endoscopic Necrosectomy of Walled-Off Necrosis following Severe Pancreatitis Using a Hot AxiosTM Stent – A Case Series Karger Publishers 2019 Pancreatitis Hot Axios Self-expandable metal stents SEMS Lumen-apposing metal stents LAMS Necrosectomy Endoscopic treatment 2019-11-14 11:08:31 Media https://karger.figshare.com/articles/media/Supplementary_Material_for_Endoscopic_Necrosectomy_of_Walled-Off_Necrosis_following_Severe_Pancreatitis_Using_a_Hot_AxiosTM_Stent_A_Case_Series/10303778 <b><i>Background: Walled-off necrosis is a common complication of severe pancreatitis. Guidelines recommend endoscopic transgastric necrosectomy as therapy of choice. Different endoscopic approaches are possible. Methods: We retrospectively analyzed our series of 9 patients where necrosectomy was performed after application of a lumen-apposing metal stent (LAMS) delivered using a Hot AxiosTM Stent device. Results: In all 9 cases, the walled-off necrosis resolved completely. Necrosectomy was performed through the LAMS (mean: 5.7 times). Endoscopic necrosectomy was repeated every 3rd–7th day using 10- or 15-mm snares. There were no major complications. Especially, no early or delayed bleeding was seen. Conclusion: The Hot AxiosTM Stent device is a safe method for necrosectomy of walled-off necrosis. It enables puncture, drainage, and LAMS insertion in a single delivery, followed by several courses of necrosectomy if needed without stent exchange. </i></b><br>