Endoscopic Necrosectomy
Minimally invasive endoscopic debridement of infected pancreatic necrosis — no external incisions.
What is Endoscopic Necrosectomy?
Endoscopic necrosectomy debrides infected pancreatic necrosis (walled-off necrosis) through an endoscopic transluminal approach. A transmural stent created under EUS guidance allows a flexible endoscope to be passed directly into the necrotic cavity for direct debridement and irrigation.
Dr. Tagore Mohan Grandhi performs endoscopic necrosectomy as part of the step-up approach for infected walled-off necrosis. Multiple sessions are typically required for complete debridement. No external incisions are needed.
Suitable for patients with infected walled-off necrosis accessible via the stomach or duodenum wall, as the preferred minimally invasive debridement approach after initial percutaneous drainage has been established.
How the Procedure Works
EUS-Guided Access
Endoscopic ultrasound identifies the optimal access point through the stomach or duodenum. Lumen-apposing metal stent (LAMS) placed creating access between the bowel and necrotic cavity.
Endoscope Entry
Flexible endoscope passed through the transmural stent into the necrotic cavity. Cavity irrigated with saline to improve visualisation.
Necrotic Debridement
Necrotic material removed under direct endoscopic vision using forceps, suction, and irrigation. Multiple sessions needed for complete debridement.
Between Sessions
Transmural stent maintains drainage between sessions. Patient monitored radiologically to assess resolution.
Stent Removal
Once the cavity is clean and contracted, stent is removed endoscopically. Cavity closes spontaneously. CT confirms resolution.
Outcomes
Who Needs This Treatment?
- →No external incisions — all debridement performed endoscopically through the mouth
- →Significantly lower morbidity and mortality than open surgical necrosectomy
- →Preferred for infected walled-off necrosis accessible via stomach or duodenum
- →Possible in critically ill patients unsuitable for open surgery
Endoscopic necrosectomy has changed how we treat this devastating complication. Performing surgical-quality debridement through the mouth without a single incision and achieving results previously only possible with open surgery is remarkable.
— Dr. Tagore Mohan Grandhi, Senior Consultant Gastrointestinal Surgeon, Lux Hospitals, Hyderabad
Endoscopic Necrosectomy Cost in Hyderabad
The cost of Endoscopic Necrosectomy for Acute Pancreatitis in Hyderabad depends on factors such as the extent of pancreatic necrosis, infection status, number of sessions required, hospital stay, and post-procedure care.
For patients with infected walled-off pancreatic necrosis, the approximate cost of Endoscopic Necrosectomy ranges between ₹1,50,000 and ₹3,50,000.
| Procedure | Approximate Cost Range |
|---|---|
| Endoscopic Necrosectomy | ₹1,50,000 – ₹3,50,000 |
The final cost may vary depending on the complexity of the procedure, number of interventions required, ICU care needs, and individual recovery requirements.
Factors That Influence Endoscopic Necrosectomy Cost
The overall cost may depend on:
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Severity of pancreatic necrosis: The extent of necrosis, infection, and overall condition of the pancreas can influence treatment planning.
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Number of procedures required: Some patients may require multiple endoscopic sessions for adequate removal of infected tissue.
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Hospital and critical care requirements: Severe pancreatitis may require ICU monitoring, prolonged admission, nutritional support, and additional medical management.
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Follow-up care: Repeat imaging, endoscopic evaluations, medications, and specialist follow-up may influence the overall treatment cost.
Is Endoscopic Necrosectomy Covered by Insurance?
Endoscopic Necrosectomy performed for medically necessary treatment of severe pancreatitis complications may be covered by health insurance. Coverage depends on your policy, insurer guidelines, and approval process.
Our insurance support team can assist with policy verification, required documents, cashless approval procedures, and insurance-related queries.
- Checking your policy coverage
- Cashless approval process
- Required documentation
- Insurance-related queries before the procedure
Dr. Tagore Grandhi
Orthopaedic & Joint Replacement Surgeon
During consultation, Dr. Tagore Mohan Grandhi, Bariatric & GI Surgeon at Lux Hospitals, will evaluate your pancreatitis severity, imaging findings, and overall health condition to determine the appropriate treatment approach. He will explain the procedure, expected outcomes, recovery process, and provide an estimated cost based on your individual condition and treatment requirements.
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