Endoscopic Ultrasound-Guided Management of Pancreatic Fluid Collections: Update and Review of the Literature
Severe acute pancreatitis is often complicated by the development of pancreatic fluid collections (PFCs), which may be associated with significant morbidity and mortality. It is crucial to accurately classify these collections as a pseudocyst or walled-off necrosis (WON) given significant difference...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Gastrointestinal Endoscopy
2017-03-01
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| Series: | Clinical Endoscopy |
| Subjects: | |
| Online Access: | http://www.e-ce.org/upload/pdf/ce-2017-045.pdf |
| _version_ | 1827802542309900288 |
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| author | Ali Alali Jeffrey Mosko Gary May Christopher Teshima |
| author_facet | Ali Alali Jeffrey Mosko Gary May Christopher Teshima |
| author_sort | Ali Alali |
| collection | DOAJ |
| description | Severe acute pancreatitis is often complicated by the development of pancreatic fluid collections (PFCs), which may be associated with significant morbidity and mortality. It is crucial to accurately classify these collections as a pseudocyst or walled-off necrosis (WON) given significant differences in outcomes and management. Interventions for PFCs have increasingly shifted to less invasive strategies, with endoscopic ultrasound (EUS)-guided methods being shown to be safer and equally effective as more invasive surgical techniques. In recent years, many new developments have improved the safety and efficacy of EUS-guided interventions, such as the introduction of lumen-apposing metal stents (LAMS), direct endoscopic necrosectomy (DEN) and multiple other adjunctive techniques. Despite these developments, treatment of PFCs, and infected WON in particular, continues to be associated with significant morbidity and mortality. In this article, we discuss the EUS-guided management of PFCs while reviewing the latest developments and controversies in the field. We end by summarizing our own approach to managing PFCs. |
| first_indexed | 2024-03-11T20:40:22Z |
| format | Article |
| id | doaj.art-767c3c1458284a8bb618d59928ff58de |
| institution | Directory Open Access Journal |
| issn | 2234-2400 2234-2443 |
| language | English |
| last_indexed | 2024-03-11T20:40:22Z |
| publishDate | 2017-03-01 |
| publisher | Korean Society of Gastrointestinal Endoscopy |
| record_format | Article |
| series | Clinical Endoscopy |
| spelling | doaj.art-767c3c1458284a8bb618d59928ff58de2023-10-02T02:39:25ZengKorean Society of Gastrointestinal EndoscopyClinical Endoscopy2234-24002234-24432017-03-0150211712510.5946/ce.2017.0456972Endoscopic Ultrasound-Guided Management of Pancreatic Fluid Collections: Update and Review of the LiteratureAli AlaliJeffrey MoskoGary MayChristopher TeshimaSevere acute pancreatitis is often complicated by the development of pancreatic fluid collections (PFCs), which may be associated with significant morbidity and mortality. It is crucial to accurately classify these collections as a pseudocyst or walled-off necrosis (WON) given significant differences in outcomes and management. Interventions for PFCs have increasingly shifted to less invasive strategies, with endoscopic ultrasound (EUS)-guided methods being shown to be safer and equally effective as more invasive surgical techniques. In recent years, many new developments have improved the safety and efficacy of EUS-guided interventions, such as the introduction of lumen-apposing metal stents (LAMS), direct endoscopic necrosectomy (DEN) and multiple other adjunctive techniques. Despite these developments, treatment of PFCs, and infected WON in particular, continues to be associated with significant morbidity and mortality. In this article, we discuss the EUS-guided management of PFCs while reviewing the latest developments and controversies in the field. We end by summarizing our own approach to managing PFCs.http://www.e-ce.org/upload/pdf/ce-2017-045.pdfEndosonographyPancreatic fluid collectionPseudocystWalled-off necrosis |
| spellingShingle | Ali Alali Jeffrey Mosko Gary May Christopher Teshima Endoscopic Ultrasound-Guided Management of Pancreatic Fluid Collections: Update and Review of the Literature Clinical Endoscopy Endosonography Pancreatic fluid collection Pseudocyst Walled-off necrosis |
| title | Endoscopic Ultrasound-Guided Management of Pancreatic Fluid Collections: Update and Review of the Literature |
| title_full | Endoscopic Ultrasound-Guided Management of Pancreatic Fluid Collections: Update and Review of the Literature |
| title_fullStr | Endoscopic Ultrasound-Guided Management of Pancreatic Fluid Collections: Update and Review of the Literature |
| title_full_unstemmed | Endoscopic Ultrasound-Guided Management of Pancreatic Fluid Collections: Update and Review of the Literature |
| title_short | Endoscopic Ultrasound-Guided Management of Pancreatic Fluid Collections: Update and Review of the Literature |
| title_sort | endoscopic ultrasound guided management of pancreatic fluid collections update and review of the literature |
| topic | Endosonography Pancreatic fluid collection Pseudocyst Walled-off necrosis |
| url | http://www.e-ce.org/upload/pdf/ce-2017-045.pdf |
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