Predictive factors and outcomes of endoscopic necrosectomy in patients with acute pancreatitis and walled-off necrosis

Figure 2 The procedure of direct endoscopic necrosectomy. A: Endoscopic image shows blocked lumen-apposing metallic stents with pus seen oozing through it; B: Blockage in the lumen-apposing metallic stents is removed, and the scope is negotiated into the cavity, which shows a large cavity with necrotic debris; C: Necrotic debris is removed with Roth net forceps; D: Post-necrosectomy with minimal debris and healthy wall cavity seen.