Image of Issue
Review
-
Drainage for fluid collections post pancreatic surgery and acute pancreatitis: similar but different?
-
Yousuke Nakai, Saburo Matsubara, Tsuyoshi Mukai, Tsuyoshi Hamada, Takashi Sasaki, Hirotoshi Ishiwatari, Susumu Hijioka, Hideyuki Shiomi, Mamoru Takenaka, Takuji Iwashita, Atsuhiro Masuda, Tomotaka Saito, Hiroyuki Isayama, Ichiro Yasuda, for the WONDERFUL study group in Japan
-
Clin Endosc 2024;57(6):735-746. Published online May 17, 2024
-
DOI: https://doi.org/10.5946/ce.2023.254
-
-
Abstract
PDF
PubReader
ePub
- Postoperative pancreatic fistulas (POPFs) are common adverse events that occur after pancreatic surgery. Endoscopic ultrasonography (EUS)-guided drainage (EUS-D) is a first-line treatment, similar to that for pancreatic fluid collection (PFCs) after acute pancreatitis. However, some POPFs do not develop fluid collections depending on the presence or location of the surgical drain, whereas others develop fluid collections, such as postoperative fluid collections (POPFCs). Although POPFCs are similar to PFCs, the strategy and modality for POPF management need to be modified according to the presence of fluid collections, surgical drains, and surgical type. As discussed for PFCs, the indications, timing, and selection of interventions or stents for EUS-D have not been fully elucidated for POPFs. In this review, we discuss the management of POPFs and POPFCs in comparison with PFCs due to acute pancreatitis and summarize the topics that should be addressed in future studies.
-
Citations
Citations to this article as recorded by

- Management of Postoperative Pancreatic Fluid Collection and Role of Endoscopy: A Case Series and Review of the Literature
Chiara Coluccio, Ilaria Tarantino, Maria Chiara Petrone, Edoardo Forti, Stefano Francesco Crinò, Alessandro Fugazza, Roberto Di Mitri, Cecilia Binda, Davide Trama, Arnaldo Amato, Alessandro Redaelli, Germana De Nucci, Fabia Attili, Mario Luciano Brancacci
Diagnostics.2025; 15(10): 1258. CrossRef - Percutaneous mini–invasive interventions in the treatment of peripancreatic fluid accumulation after pancreatic resection
M. V. Kostylev, V. P. Shkarban, V. I. Trachuk, V. O. Shatalo
The Ukrainian Journal of Clinical Surgery.2025; 92(3): 20. CrossRef - Acute Necrotizing Pancreatitis—Advances and Challenges in Management for Optimal Clinical Outcomes
Ioana Dumitrascu, Narcis Octavian Zarnescu, Eugenia Claudia Zarnescu, Mihai Radu Pahomeanu, Alexandru Constantinescu, Dana Galieta Minca, Radu Virgil Costea
Medicina.2025; 61(7): 1186. CrossRef
-
7,239
View
-
469
Download
-
1
Web of Science
-
3
Crossref
Focused Review Series: Cutting Edge of Advanced Therapeutic Endoscopy
-
Present Status of Endoscopic Submucosal Dissection for Non-Ampullary Duodenal Epithelial Tumors
-
Naomi Kakushima, Masao Yoshida, Yohei Yabuuchi, Noboru Kawata, Kohei Takizawa, Yoshihiro Kishida, Sayo Ito, Kenichiro Imai, Kinichi Hotta, Hirotoshi Ishiwatari, Hiroyuki Matsubayashi, Hiroyuki Ono
-
Clin Endosc 2020;53(6):652-658. Published online January 15, 2020
-
DOI: https://doi.org/10.5946/ce.2019.184
-
-
Abstract
PDF
PubReader
ePub
- Prediction of histology by endoscopic examination is important in the clinical management of non-ampullary duodenal epithelial tumors (NADETs), including adenoma and adenocarcinoma. The use of a simple scoring system based on the findings of white-light endoscopy or magnified endoscopy with narrow-band imaging is useful to differentiate between Vienna category 3 (C3) and C4/5 lesions. Less invasive endoscopic resection procedures, such as cold snare polypectomy, are quick to perform and convenient for small (<10 mm) C3 lesions. Neoplasms with higher grade histology, such as C4/5 lesions, should be treated by endoscopic mucosal resection (EMR), endoscopic submucosal dissection (ESD), or surgery. Although EMR often requires piecemeal resection, the complication rate is acceptable. Excellent complete resection rates could be achieved by ESD; however, it remains a challenging method considering the high risk of complications. Shielding or closure of the ulcer after ESD is effective at decreasing the risk of delayed bleeding and perforation. Laparoscopic endoscopic cooperative surgery is an ideal treatment with a high rate of en bloc resection and a low rate of complications, although it is limited to high-volume centers. Patients with NADETs could benefit from a multidisciplinary approach to stratify the optimal treatment based on endoscopic diagnoses.
-
Citations
Citations to this article as recorded by

- Risk factors for delayed bleeding after endoscopic resection of non-ampullary duodenal epithelial tumors and the effectiveness of complete mucosal closure in high-risk patients
Kohei Shigeta, Masao Yoshida, Yoichi Yamamoto, Yuki Maeda, Noboru Kawata, Kazunori Takada, Kenichiro Imai, Kinichi Hotta, Junya Sato, Hirotoshi Ishiwatari, Hiroyuki Matsubayashi, Hiroyuki Ono
Surgical Endoscopy.2025; 39(2): 1025. CrossRef - Endoscopic Resection for Superficial Non-Ampullary Duodenal Epithelial Tumors
Hye Kyung Jeon, Gwang Ha Kim
Gut and Liver.2025; 19(1): 19. CrossRef - The Characteristics and Treatment Outcomes of 71 Duodenal Brunner’s Gland Adenomas with Endoscopic Submucosal Dissection
Ying Xiang, Jinyan Liu, Nan ya Wang, Dehua Tang, Lei Wang, Ping xiao Zou, Guifang Xu, Qin Huang
Digestive Diseases.2023; 41(6): 852. CrossRef - Endoscopic diagnosis and treatment of superficial non-ampullary duodenal epithelial tumors: A review
Zheng Zhao, Yue Jiao, Shuyue Yang, Anni Zhou, Guiping Zhao, Shuilong Guo, Peng Li, Shutian Zhang
Journal of Translational Internal Medicine.2023; 11(3): 206. CrossRef - Current Treatment Strategy for Superficial Nonampullary Duodenal Epithelial Tumors
Tetsuya Suwa, Kohei Takizawa, Noboru Kawata, Masao Yoshida, Yohei Yabuuchi, Yoichi Yamamoto, Hiroyuki Ono
Clinical Endoscopy.2022; 55(1): 15. CrossRef - Rapid and chronological expression of angiogenetic genes is a major mechanism involved in cell sheet transplantation in a rat gastric ulcer model
Shun Yamaguchi, Miki Higashi, Kengo Kanetaka, Yasuhiro Maruya, Shinichiro Kobayashi, Keiichi Hashiguchi, Masaaki Hidaka, Kazuhiko Nakao, Susumu Eguchi
Regenerative Therapy.2022; 21: 372. CrossRef - Survival comparison between endoscopic and surgical resection for non-ampullary duodenal neuroendocrine tumor (1–2 cm)
Jiebin Xie, Yuan Zhang, Ming He, Xu Liu, Pin Xie, Yueshan Pang
Scientific Reports.2022;[Epub] CrossRef - Efficacy, feasibility, and safety of endoscopic double closure in the GI tract
Ahmad M. Al-Taee, Kohtaro Ooka, Gregory B. Haber, Jonathan Cohen
iGIE.2022; 1(1): 19. CrossRef - Current endoscopic diagnosis treatment strategy for superficial nonampullary duodenal tumours
Aichun Li, Jianwei Shen
European Journal of Medical Research.2022;[Epub] CrossRef - The incidence of non‐ampullary duodenal cancer in Japan: The first analysis of a national cancer registry
Masao Yoshida, Yohei Yabuuchi, Naomi Kakushima, Motohiko Kato, Mikitaka Iguchi, Yorimasa Yamamoto, Kengo Kanetaka, Toshio Uraoka, Mitsuhiro Fujishiro, Masayuki Sho
Journal of Gastroenterology and Hepatology.2021; 36(5): 1216. CrossRef - White light and/or magnifying endoscopy with narrow band imaging for superficial nonampullary duodenal epithelial tumors
Naomi Kakushima, Masao Yoshida, Kohei Takizawa, Yohei Yabuuchi, Noboru Kawata, Yoshihiro Kishida, Sayo Ito, Kenichiro Imai, Kinichi Hotta, Hirotoshi Ishiwatari, Hiroyuki Matsubayashi, Hiroyuki Ono
Scandinavian Journal of Gastroenterology.2021; 56(2): 211. CrossRef - Endoscopic management of superficial nonampullary duodenal tumors: European Society of Gastrointestinal Endoscopy (ESGE) Guideline
Geoffroy Vanbiervliet, Alan Moss, Marianna Arvanitakis, Urban Arnelo, Torsten Beyna, Olivier Busch, Pierre H. Deprez, Lumir Kunovsky, Alberto Larghi, Gianpiero Manes, Bertrand Napoleon, Kumanan Nalankilli, Manu Nayar, Enrique Pérez-Cuadrado-Robles, Stefan
Endoscopy.2021; 53(05): 522. CrossRef - Endoscopic Treatment for Superficial Nonampullary Duodenal Tumors
Hyo-Joon Yang
The Korean Journal of Gastroenterology.2021; 77(4): 164. CrossRef - Duodenal endoscopic submucosal dissection: Is it ready for primetime? (with video)
Sergey V. Kantsevoy
Gastrointestinal Endoscopy.2020; 91(5): 1138. CrossRef - Life on a knife edge: the optimal approach to the management of perforations during endoscopic submucosal dissection (ESD)
Shria Kumar, Young Hoon Youn, Jeffrey H. Lee
Expert Review of Gastroenterology & Hepatology.2020; 14(10): 965. CrossRef - Tapering body stiffness shortens upper gastrointestinal examination via transoral insertion with ultrathin endoscope
Satoshi Ono, Shun Ito, Kyohei Maejima, Shosuke Hosaka, Kiyotaka Umeki, Shin-ichiro Sato
Endoscopy International Open.2020; 08(12): E1748. CrossRef
-
8,830
View
-
263
Download
-
16
Web of Science
-
16
Crossref