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Original Articles
- Increasing trend of endoscopic drainage utilization for the management of pancreatic pseudocyst: insights from a nationwide database
- Khaled Elfert, Salomon Chamay, Lamin Dos Santos, Mouhand Mohamed, Azizullah Beran, Fouad Jaber, Hazem Abosheaishaa, Suresh Nayudu, Sammy Ho
- Clin Endosc 2024;57(1):105-111. Published online August 4, 2023
- DOI: https://doi.org/10.5946/ce.2023.054
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Graphical Abstract
Abstract
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ePub - Background
/Aims: The pancreatic pseudocyst (PP) is a type of fluid collection that typically develops as a delayed complication of acute pancreatitis. Drainage is indicated for symptomatic patients and/or associated complications, such as infection and bleeding. Drainage modalities include percutaneous, endoscopic, laparoscopic, and open drainage. This study aimed to assess trends in the utilization of different drainage modalities for treating PP from 2016 to 2020. The trends in mortality, mean length of hospital stay, and mean hospitalization costs were also assessed.
Methods
The National Inpatient Sample database was used to obtain data. The variables were generated using International Classification of Diseases-10 diagnostic and procedural codes.
Results
Endoscopic drainage was the most commonly used drainage modality in 2018–2020, with an increasing trend over time (385 procedures in 2018 to 515 in 2020; p=0.003). This is associated with a decrease in the use of other drainage modalities. A decrease in the hospitalization cost for PP requiring drainage was also noted (29,318 United States dollar [USD] in 2016 to 18,087 USD in 2020, p<0.001).
Conclusions
Endoscopic drainage is becoming the most commonly used modality for the treatment of PP in hospitals located in the US. This new trend is associated with decreasing hospitalization costs. -
Citations
Citations to this article as recorded by
- Asparaginase-Associated Pancreatitis and Pancreatic Pseudocyst Managed with Endoscopic Cystogastrostomy in Adult Acute Lymphoblastic Leukemia
Gyewon Park, Eun Sun Kim, Hyuk Soon Choi, Bora Keum, Yoon Tae Jeen, Hoon Jai Chun, Hong Sik Lee, Jae Min Lee
The Korean Journal of Pancreas and Biliary Tract.2025; 30(1): 31. CrossRef - Analysis of the correlation between serum MIF, MCP-1, and IL-6 levels and the formation of pseudocysts in patients with acute severe pancreatitis
Changcheng Liu, Xianru Jia, Bingbing Cui, Xuejin Liu
AIP Advances.2025;[Epub] CrossRef - Pancreatic pseudocyst: The past, the present, and the future
Jonathan GA Koo, Matthias Yi Quan Liau, Igor A Kryvoruchko, Tamer AAM Habeeb, Christopher Chia, Vishal G Shelat
World Journal of Gastrointestinal Surgery.2024; 16(7): 1986. CrossRef
- Asparaginase-Associated Pancreatitis and Pancreatic Pseudocyst Managed with Endoscopic Cystogastrostomy in Adult Acute Lymphoblastic Leukemia
- 3,546 View
- 142 Download
- 1 Web of Science
- 3 Crossref
- Efficacy and Safety of Lumen-Apposing Stents for Management of Pancreatic Fluid Collections in a Community Hospital Setting
- Rajat Garg, Abdelkader Chaar, Susan Szpunar, Babu P. Mohan, Mohammed Barawi
- Clin Endosc 2020;53(4):480-486. Published online October 16, 2019
- DOI: https://doi.org/10.5946/ce.2019.116
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Abstract
PDFPubReaderePub
- Background
/Aims: Endoscopic ultrasound-guided transmural drainage and necrosectomy employing lumen-apposing metal stent (LAMS) are used for treating pancreatic fluid collections (PFCs) with excellent results from academic centers. Herein, we report the efficacy and safety of LAMS in the treatment of PFCs at a community hospital.
Methods
We retrospectively reviewed the etiology of pancreatitis, type and size of PFCs, length of procedure, technical success, clinical success, adverse events, and stent removal. The primary outcome was the rate of clinical success, and secondary outcomes were technical success and adverse events.
Results
Twenty-seven patients with a mean age of 54.1±6.5 years were included, 44% of which were men. The mean size of the PFCs was 9.7±5.0 cm (range, 3–21). The most common etiology of pancreatitis was alcohol (44%) followed by idiopathic causes (30%) and presence of gallstones (22%). The diagnosis was pseudocyst in 44.4% (12/27) and walled off necrosis in 55.6% (15/27) of patients. There was 100% technical success without any complications. Clinical success was achieved in 22 of 27 patients (81.5%) who underwent stent removal.
Conclusions
Our study is the first to report that endoscopic therapy of PFCs using LAMS is safe and effective even in a community hospital setting with limited resources and support compared to large academic centers. -
Citations
Citations to this article as recorded by- EUS-guided interventional therapies for pancreatic diseases
Rongmin Xu, Kai Zhang, Nan Ge, Siyu Sun
Frontiers in Medicine.2024;[Epub] CrossRef - Trans-cavity lumen-apposing metal stent removal: an alternative safe modality
Giacomo Emanuele Maria Rizzo, Ilaria Tarantino
Clinical Endoscopy.2023; 56(1): 129. CrossRef - Lumen-apposing-metal stent misdeployment in endoscopic ultrasound-guided drainages: A systematic review focusing on issues and rescue management
Elia Armellini, Flavio Metelli, Andrea Anderloni, Anna Cominardi, Giovanni Aragona, Michele Marini, Fabio Pace
World Journal of Gastroenterology.2023; 29(21): 3341. CrossRef - Lumen-apposing metal stents
Carlo Fabbri, Chiara Coluccio, Cecilia Binda, Alessandro Fugazza, Andrea Anderloni, Ilaria Tarantino
Endoscopic Ultrasound.2022; 11(1): 59. CrossRef - Endoscopic Drainage of Giant Pancreatic Pseudocysts Using Both Lumen-Apposing Metal Stent and Plastic Stent: A Report of Two Cases and Review of the Current Literature
Hussam I. A. Alzeerelhouseini, Muawiyah Elqadi, Mohammad N. Elqadi, Sadi A. Abukhalaf, Hazem A. Ashhab, Yoshifumi Nakayama
Case Reports in Gastrointestinal Medicine.2021; 2021: 1. CrossRef - Editors' Choice of Noteworthy Clinical Endoscopy Publications in the First Decade
Gwang Ha Kim, Kwang An Kwon, Do Hyun Park, Jimin Han
Clinical Endoscopy.2021; 54(5): 633. CrossRef - Comparative outcomes of endoscopic ultrasound‐guided lumen‐apposing mental stents drainage for pancreatic pseudocysts and walled‐off necrosis: Case series and meta‐analysis
Jing Li, Qian Zhang, Anni Zhou, Guiping Zhao, Peng Li
Chronic Diseases and Translational Medicine.2021; 7(3): 157. CrossRef - Reply
Kazuki Takeishi, Toru Ikegami, Tomoharu Yoshizumi, Nao Fujimori, Masaki Mori
Liver Transplantation.2020; 26(5): 727. CrossRef - Safety and efficacy of lumen-apposing metal stents versus plastic stents to treat walled-off pancreatic necrosis: systematic review and meta-analysis
Vinay Chandrasekhara, Marc Barthet, Jacques Devière, Fateh Bazerbachi, Sundeep Lakhtakia, Jeffrey J. Easler, Joyce A. Peetermans, Edmund McMullen, Ornela Gjata, Margaret L. Gourlay, Barham K. Abu Dayyeh
Endoscopy International Open.2020; 08(11): E1639. CrossRef
- EUS-guided interventional therapies for pancreatic diseases
- 10,993 View
- 220 Download
- 8 Web of Science
- 9 Crossref
- There Is No Advantage to Transpapillary Pancreatic Duct Stenting for the Transmural Endoscopic Drainage of Pancreatic Fluid Collections: A Meta-Analysis
- Sunil Amin, Dennis J. Yang, Aimee L. Lucas, Susana Gonzalez, Christopher J. DiMaio
- Clin Endosc 2017;50(4):388-394. Published online April 17, 2017
- DOI: https://doi.org/10.5946/ce.2016.091
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Abstract
PDFPubReaderePub
- Background
/Aims: Options for the endoscopic management of symptomatic pancreatic fluid collections (PFCs) include transmural drainage (TM) alone, transpapillary drainage (TP) alone, or a combination of both drainage method (CD). There have been conflicting reports about the best method. This study performed a meta-analysis to determine whether CD presents an added clinical benefit over TM.
Methods
The included studies compared TM with CD and reported clinical success for both methods. A random-effects model was used to determine the pooled odds ratios (ORs) and the 95% confidence intervals (CIs) for the following outcomes: technical success, clinical success, complications, and recurrence.
Results
Nine studies involving a combined total of 604 drainage procedures—373 TMs (62%) and 231 CDs (38%)—were included. CD showed no additional benefit over TM in terms of technical success (OR, 1.12; 95% CI, 0.37–3.37; p=0.85), clinical success (OR, 1.11; 95% CI, 0.65–1.89; p=0.70), recurrence (OR, 1.49; 95% CI, 0.53–4.21; p=0.45), or complications (OR, 1.15; 95% CI, 0.61–2.18; p=0.67).
Conclusions
Pancreatic duct (PD) stenting provides no additional clinical benefit for the TM of PFCs (particularly pseudocysts). Patients undergoing the TM of symptomatic pseudocysts may not require endoscopic retrograde pancreatography (ERP). -
Citations
Citations to this article as recorded by- Practical Efficacy and Limitations of the Transpapillary Stent Bridging Technique for Non-postoperative Pancreatic Fistula
Akihisa Adachi, Michihiro Yoshida, Hiroki Takada, Yasuki Hori, Akihisa Kato, Hidenori Sahashi, Tadashi Toyohara, Kayoko Kuno, Yusuke Kito, Kenji Urakabe, Hiromi Kataoka
Digestive Diseases and Sciences.2025;[Epub] CrossRef - Endoscopic Management of Recurrent Acute Pancreatitis
Pier Alberto Testoni, Sabrina Testoni
Journal of Clinical Medicine.2025; 14(7): 2150. CrossRef - Endoscopic management of pancreatic collections. Endoscopic Ultrasound Group from the Spanish Society of Digestive Endoscopy (GSEED-USE) Clinical Guidelines
Mariano González-Haba Ruiz, María Teresa Betés Ibáñez, Belén Martínez Moreno , Alejandro Repiso Ortega, Carlos de la Serna Higuera, Julio Iglesias García, Oriol Sendino García, María Moris Felgueroso, Belén Agudo Castillo, José Miguel Esteban Lóp
Revista Española de Enfermedades Digestivas.2024;[Epub] CrossRef - Pancreatic pseudocyst: The past, the present, and the future
Jonathan GA Koo, Matthias Yi Quan Liau, Igor A Kryvoruchko, Tamer AAM Habeeb, Christopher Chia, Vishal G Shelat
World Journal of Gastrointestinal Surgery.2024; 16(7): 1986. CrossRef - Updates on therapeutic endoscopic ultrasound
George Wahba, Jeffrey H. Lee
Current Opinion in Gastroenterology.2024;[Epub] CrossRef - Endoscopic management of pancreatic fluid collections with disconnected pancreatic duct syndrome
Zhi-Jie Wang, Yi-Hang Song, Shi-Yu Li, Zi-Xuan He, Zhao-Shen Li, Shu-Ling Wang, Yu Bai
Endoscopic Ultrasound.2023; 12(1): 29. CrossRef - A release from WONderland: endoscopic ultrasonography-guided reconnection of disconnected pancreatic ducts across a walled-off necrosis cavity
Tatsuya Sato, Tomotaka Saito, Tsuyoshi Hamada, Yousuke Nakai, Mitsuhiro Fujishiro
Endoscopy.2023; 55(S 01): E82. CrossRef - Stenting of the main pancreatic duct as a prevention of the acute post-manipulation pancreatitis development during endoscopic surgery in patients with benign diseases of the bilio-pancreatoduodenal area. Literature review
E. Y. Sadovnikova, A. E. Klimov, V. A. Ivanov, M. Y. Persov, D. T. Nazarov
Hirurg (Surgeon).2023; (1): 6. CrossRef - Management of Disconnected Pancreatic Duct
Jahangeer Basha, Sundeep Lakhtakia
Gastrointestinal Endoscopy Clinics of North America.2023; 33(4): 753. CrossRef - Disconnected pancreatic duct syndrome and outcomes of endoscopic ultrasound‐guided treatment of pancreatic fluid collections: Systematic review and meta‐analysis
Tsuyoshi Hamada, Takuji Iwashita, Tomotaka Saito, Hideyuki Shiomi, Mamoru Takenaka, Hiroyuki Isayama, Ichiro Yasuda, Yousuke Nakai
Digestive Endoscopy.2022; 34(4): 676. CrossRef - Clinical Practice Guidelines for the Endoscopic Management of Peripancreatic Fluid Collections
Chi Hyuk Oh, Tae Jun Song, Jun Kyu Lee, Jin-Seok Park, Jae Min Lee, Jun Hyuk Son, Dong Kee Jang, Miyoung Choi, Jeong-Sik Byeon, In Seok Lee, Soo Teik Lee, Ho Soon Choi, Ho Gak Kim, Hoon Jai Chun, Chan Guk Park, Joo Young Cho
The Korean Journal of Pancreas and Biliary Tract.2022; 27(2): 61. CrossRef - Disconnected pancreatic duct syndrome in acute pancreatitis
A.V. Fedorov, V.N. Ektov, M.A. Khodorkovsky
Khirurgiya. Zhurnal im. N.I. Pirogova.2022; (8): 83. CrossRef - Disconnected pancreatic duct syndrome
S. M. Chooklin, S. S. Chuklin, R. V. Barylyak
Klinicheskaia khirurgiia.2022; 88(11-12): 80. CrossRef - Interventional Endoscopic Ultrasound: Current Status and Future Directions
John M. DeWitt, Mustafa Arain, Kenneth J. Chang, Reem Sharaiha, Sri Komanduri, V. Raman Muthusamy, Joo Ha Hwang
Clinical Gastroenterology and Hepatology.2021; 19(1): 24. CrossRef - Endoscopic Management of Pancreatic Fluid Collections: Guidelines of Society of Gastrointestinal Endoscopy of India and Indian EUS Club
Rahul Shah, Jahangeer Basha, Surinder Rana, Soumya Jagannath, Praveer Rai, Sudipta Dhar Chowdhury, Zubin Dev Sharma, Deepak Gunjan, Saurabh Patle, A Chalapathi Rao, Prakash Zacharia, Rajesh Sanjeevi, Manoj Sahu, Matthew Philip, Pramod Garg, Rajesh Puri, D
Journal of Digestive Endoscopy.2021; 12(01): 003. CrossRef - Current status of treatments of pancreatic and peripancreatic collections of acute pancreatitis
Nian-Jun Xiao, Ting-Ting Cui, Fang Liu, Wen Li
World Journal of Gastrointestinal Surgery.2021; 13(7): 633. CrossRef - Clinical Practice Guidelines for the Endoscopic Management of Peripancreatic Fluid Collections
Chi Hyuk Oh, Jun Kyu Lee, Tae Jun Song, Jin-Seok Park, Jae Min Lee, Jun Hyuk Son, Dong Kee Jang, Miyoung Choi, Jeong-Sik Byeon, In Seok Lee, Soo Teik Lee, Ho Soon Choi, Ho Gak Kim, Hoon Jai Chun, Chan Guk Park, Joo Young Cho
Clinical Endoscopy.2021; 54(4): 505. CrossRef - Interventionelle endoskopische Therapie bei akuter Pankreatitis
Marcus Hollenbach, Jürgen Feisthammel, Albrecht Hoffmeister
Der Internist.2021; 62(10): 1055. CrossRef - Clinical Practice Guidelines for the Endoscopic Management of Peripancreatic Fluid Collections
Chi Hyuk Oh, Tae Jun Song, Jun Kyu Lee, Jin-Seok Park, Jae Min Lee, Jun Hyuk Son, Dong Kee Jang, Miyoung Choi, Jeong-Sik Byeon, In Seok Lee, Soo Teik Lee, Ho Soon Choi, Ho Gak Kim, Hoon Jai Chun, Chan Guk Park, Joo Young Cho
Gut and Liver.2021; 15(5): 677. CrossRef - The augmented role of pancreatic imaging in the era of endoscopic necrosectomy: an illustrative and pictorial review
Harit Kapoor, Mohamed Issa, Michael A. Winkler, Rashmi T. Nair, Frandah Wesam, Halemane Ganesh
Abdominal Radiology.2020; 45(5): 1534. CrossRef - Disconnected pancreatic duct syndrome: Updated review on clinical implications and management
Suhang Verma, Surinder S. Rana
Pancreatology.2020; 20(6): 1035. CrossRef - Role of pancreatography in the endoscopic management of encapsulated pancreatic collections – review and new proposed classification
Igor Mendonça Proença, Marcos Eduardo Lera dos Santos, Diogo Turiani Hourneaux de Moura, Igor Braga Ribeiro, Sergio Eiji Matuguma, Spencer Cheng, Thomas R McCarty, Epifanio Silvino do Monte Junior, Paulo Sakai, Eduardo Guimarães Hourneaux de Moura
World Journal of Gastroenterology.2020; 26(45): 7104. CrossRef - Comparison of three different stents for endoscopic ultrasound‐guided drainage of pancreatic fluid collection: A large retrospective study
Zhijie Wang, Shengbing Zhao, Qianqian Meng, Shuling Wang, Yan Chen, Fuming Wang, Qiang Li, Jun Yao, Yiqi Du, Zhendong Jin, Yu Bai, Zhaoshen Li, Dong Wang
Journal of Gastroenterology and Hepatology.2019; 34(4): 791. CrossRef - Recent advances in the diagnosis and management of chronic pancreatitis
Chang-Il Kwon, Jae Hee Cho, Sung Hoon Choi, Kwang Hyun Ko, Temel Tirkes, Mark A. Gromski, Glen A. Lehman
The Korean Journal of Internal Medicine.2019; 34(2): 242. CrossRef - Endoscopic versus surgical treatment for pancreatic pseudocysts
Galileu F.A. Farias, Wanderley M. Bernardo, Diogo T.H. De Moura, Hugo G. Guedes, Vitor O. Brunaldi, Thiago A. de C. Visconti, Caio V.T. Gonçalves, Christiano M. Sakai, Sergio E. Matuguma, Marcos E.L. dos Santos, Paulo Sakai, Eduardo G.H. De Moura
Medicine.2019; 98(8): e14255. CrossRef - An overview of walled-off pancreatic necrosis for clinicians
Surinder Singh Rana
Expert Review of Gastroenterology & Hepatology.2019; 13(4): 331. CrossRef - Safety and efficacy of lumen-apposing metal stents with and without simultaneous double-pigtail plastic stents for draining pancreatic pseudocyst
Murad Aburajab, Zachary Smith, Abdul Khan, Kulwinder Dua
Gastrointestinal Endoscopy.2018; 87(5): 1248. CrossRef - Management of complications of acute pancreatitis
Christopher J. DiMaio
Current Opinion in Gastroenterology.2018; 34(5): 336. CrossRef - Endoscopic management of complications of acute pancreatitis: an update on the field
Ali Aghdassi, Peter Simon, Tilman Pickartz, Christoph Budde, Mariya E. Skube, Markus. M. Lerch
Expert Review of Gastroenterology & Hepatology.2018; 12(12): 1207. CrossRef - Endoscopic Drainage of Pancreatic Fluid Collections
B. Joseph Elmunzer
Clinical Gastroenterology and Hepatology.2018; 16(12): 1851. CrossRef - Is Endoscopic Ultrasound-Guided Drainage Alone Sufficient for the Treatment of Peripancreatic Fluid Collection?
Se Woo Park
Clinical Endoscopy.2017; 50(4): 316. CrossRef - False Reassurance Based on Non-Significant Results
Douglas G. Altman
Clinical Endoscopy.2017; 50(6): 617. CrossRef
- Practical Efficacy and Limitations of the Transpapillary Stent Bridging Technique for Non-postoperative Pancreatic Fistula
- 6,992 View
- 186 Download
- 31 Web of Science
- 32 Crossref
Focused Review Series: EUS-Guided Therapeutic Interventions
- Endoscopic Ultrasound-Guided Management of Pancreatic Fluid Collections: Update and Review of the Literature
- Ali Alali, Jeffrey Mosko, Gary May, Christopher Teshima
- Clin Endosc 2017;50(2):117-125. Published online March 30, 2017
- DOI: https://doi.org/10.5946/ce.2017.045
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Abstract
PDFPubReaderePub
- 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.
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Citations
Citations to this article as recorded by- Gastro-Colonic Fistulization of a Lumen Apposing Metal Stent with Successful Endoscopic Management: A Case Report
J Samhoun, A Chin, D Forcione
Endoscopy.2025; 57(S 02): S325. CrossRef - Safety and efficacy of early versus late removal of LAMS for pancreatic fluid collections
Philippe Willems, Eslam Esmail, Sarto Paquin, Anand Sahai
Endoscopy International Open.2024; 12(02): E317. CrossRef - Video assisted retroperitoneal debridement for infected pancreatic necrosis: A two port approach for difficult access
Daniel Gómez-Carrillo, Carlos Eduardo Rey Chaves, María Valentina Romero, Jaime Cruz, Roosevelt Fajardo, Francisco Díaz
International Journal of Surgery Case Reports.2024; 119: 109740. CrossRef - Video-assisted retroperitoneal debridement for necrotizing pancreatitis: a single center experience in Colombia
Carlos Eduardo Rey Chaves, María Camila Azula Uribe, Sebastián Benavides Largo, Laura Becerra Sarmiento, María Alejandra Gómez-Gutierrez, Liliana Cuevas López
BMC Surgery.2024;[Epub] CrossRef - Minimal-access video-assisted retroperitoneal and/or transperitoneal debridement (VARTD) in the management of infected walled-off pancreatic necrosis with deep extension: initial experience from a prospective single-arm study
Wanjie Wei, Yongliang Tang, Zuxiang Peng, Jun Xie, Zhaoxia Deng, Tao Yuan, Chun Tang, Ruxian Pi, Shunan Wang, Siqi Zhao, Lu Wang, Chunxue Li, Yaoli Wang, Peng Zhang, Zhengbin Wu, Yafeng Wan, Yan Ma, Wen Tang, Xianchun Liang, Kun Liu, Wei Wang, Xianyi Lian
European Journal of Medical Research.2023;[Epub] CrossRef - Assessing the Impact of Medication and Stenting on the Quality of Life of Patients With Chronic Pancreatitis: A Prospective Study
Ravindrasingh Rajput, Durga Prasad S, C Ganesh Pai
Cureus.2023;[Epub] CrossRef - Endotherapy in Pancreatic Diseases
Vaneet Jearth, Surinder S. Rana
Journal of Digestive Endoscopy.2022; 13(01): 019. CrossRef - Endoscopic Treatment of Complex Walled-Off Necrosis in Necrotizing Pancreatitis With Two Simultaneous Lumen-Apposing Metal Stents: A Case Report
Marcos Eduardo Lera dos Santos, Igor Mendonça Proença, João Guilherme Ribeiro Jordão Sasso, Victor Lira de Oliveira, Pedro Henrique Boraschi Vieira Ribas, Alexandre Moraes Bestetti, Igor Braga Ribeiro, Raoni Salomão Sant Anna, Guilherme Henrique Peixoto d
Cureus.2022;[Epub] CrossRef - Migration of an AXIOS stent complex into the colon – A case report
Steven Tran, Eu Nice Neo
International Journal of Surgery Case Reports.2021; 78: 247. CrossRef - Metal Versus Plastic Stents for Pancreatic Fluid Collection Drainage
Xianzhu Zhou, Han Lin, Xiaoju Su, Pingping Zhang, Chunting Fu, Xiangyu Kong, Zhendong Jin, Zhaoshen Li, Yiqi Du, Huiyun Zhu
Journal of Clinical Gastroenterology.2021; 55(8): 652. CrossRef - Successful Endoscopic Ultrasound-Guided Treatment of a Spontaneous Rupture of a Hemorrhagic Pancreatic Pseudocyst
Chan Park, Tae Hyeon Kim, Hyung Ku Chon
Clinical Endoscopy.2021; 54(5): 763. CrossRef - GRUPUGE Perspective: Endoscopic Ultrasound-Guided Drainage of Peripancreatic Collections
Flávio Pereira, Ana Caldeira, Sílvia Leite, Susana Marques, Teresa Moreira, Pedro Moutinho-Ribeiro, Nuno Nunes, Miguel Bispo
GE - Portuguese Journal of Gastroenterology.2021; 28(1): 39. CrossRef - Lumen-apposing metal stents in interventional endoscopy: a state-of-the-art review with focus on technical and clinical successes and complications
Anas Kadah, Tawfik Khoury, Amir Mari, Mahmud Mahamid, Wisam Sbeit
European Journal of Gastroenterology & Hepatology.2020; 32(1): 1. CrossRef - Endoscopic intervention in pancreatitis: perspectives from a gastroenterologist
Merve Gurakar, Mahya Faghih, Vikesh K. Singh
Abdominal Radiology.2020; 45(5): 1308. CrossRef - International multicenter comprehensive analysis of adverse events associated with lumen-apposing metal stent placement for pancreatic fluid collection drainage
Alessandro Fugazza, Amrita Sethi, Arvind J. Trindade, Edoardo Troncone, John Devlin, Mouen A. Khashab, Frank P. Vleggaar, Auke Bogte, Ilaria Tarantino, Pierre H. Deprez, Carlo Fabbri, José Ramón Aparicio, Paul Fockens, Rogier P. Voermans, Will Uwe, Geoffr
Gastrointestinal Endoscopy.2020; 91(3): 574. CrossRef - Recent advances in treatment of pancreatic pseudocyst with endoscopic ultrasonography guided lumen-apposing metal stents
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World Chinese Journal of Digestology.2020; 28(5): 189. CrossRef - Pancreatic fluid collections: Clinical manifestations, diagnostic evaluation and management
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CA Gomes, S Di Saverio, M Sartelli, E Segallini, N Cilloni, R Pezzilli, N Pagano, FC Gomes, F Catena
The Annals of The Royal College of Surgeons of England.2020; 102(8): 555. CrossRef - Efficacy and Safety of Lumen-Apposing Stents for Management of Pancreatic Fluid Collections in a Community Hospital Setting
Rajat Garg, Abdelkader Chaar, Susan Szpunar, Babu P. Mohan, Mohammed Barawi
Clinical Endoscopy.2020; 53(4): 480. CrossRef - UegWeek 2020 Poster Presentations
United European Gastroenterology Journal.2020; 8(S8): 144. CrossRef - Endoscopic versus surgical treatment for pancreatic pseudocysts
Galileu F.A. Farias, Wanderley M. Bernardo, Diogo T.H. De Moura, Hugo G. Guedes, Vitor O. Brunaldi, Thiago A. de C. Visconti, Caio V.T. Gonçalves, Christiano M. Sakai, Sergio E. Matuguma, Marcos E.L. dos Santos, Paulo Sakai, Eduardo G.H. De Moura
Medicine.2019; 98(8): e14255. CrossRef - New Advances in the Treatment of Acute Pancreatitis
Mahya Faghih, Christopher Fan, Vikesh K. Singh
Current Treatment Options in Gastroenterology.2019; 17(1): 146. CrossRef - Recent advances in the diagnosis and management of chronic pancreatitis
Chang-Il Kwon, Jae Hee Cho, Sung Hoon Choi, Kwang Hyun Ko, Temel Tirkes, Mark A. Gromski, Glen A. Lehman
The Korean Journal of Internal Medicine.2019; 34(2): 242. CrossRef - An endoscopic or minimally invasive surgical approach for infected necrotizing pancreatitis: a systematic review and meta-analysis
Yong Hu, Chunyan Li, Xin Zhao, Yunfeng Cui
Revista Española de Enfermedades Digestivas.2019;[Epub] CrossRef - Outcomes of infected pancreatic necrosis complicated with duodenal fistula in the era of minimally invasive techniques
Dingcheng Shen, Caihong Ning, Gengwen Huang, Zhiyong Liu
Scandinavian Journal of Gastroenterology.2019; 54(6): 766. CrossRef - Imaging of Lumen-Apposing Metal Stents in Abdominopelvic Applications
Inessa A. Goldman, Julie Yang, Meir H. Scheinfeld
American Journal of Roentgenology.2019; 213(3): 602. CrossRef - Endoscopic Ultrasound-Guided Drainage of Peripancreatic Fluid Collections
Eun Young Kim, Robert H. Hawes
Clinical Endoscopy.2019; 52(4): 299. CrossRef - Prevalence and outcomes of cystic lesions of the transplant pancreas: The University of Wisconsin Experience
Talal M. Al-Qaoud, Eric J. Martinez, Hans W. Sollinger, Dixon B. Kaufman, Robert R. Redfield III, Bridget Welch, Glen Leverson, Jon S. Odorico
American Journal of Transplantation.2018; 18(2): 467. CrossRef - Mechanisms and Management of Acute Pancreatitis
Ari Garber, Catherine Frakes, Zubin Arora, Prabhleen Chahal
Gastroenterology Research and Practice.2018; 2018: 1. CrossRef - Lumen-Apposing Metal Stents
Matthew W. Stier, Irving Waxman
Gastrointestinal Endoscopy Clinics of North America.2018; 28(2): 207. CrossRef - Endoscopic Interventions in Acute Pancreatitis: What the Advanced Endoscopist Wants to Know
Brendan M. Case, Kyle K. Jensen, Gene Bakis, Brintha K. Enestvedt, Akram M. Shaaban, Bryan R. Foster
RadioGraphics.2018; 38(7): 2002. CrossRef - Endoscopic Drainage of Pancreatic Fluid Collections
B. Joseph Elmunzer
Clinical Gastroenterology and Hepatology.2018; 16(12): 1851. CrossRef
- Gastro-Colonic Fistulization of a Lumen Apposing Metal Stent with Successful Endoscopic Management: A Case Report
- 10,931 View
- 464 Download
- 36 Web of Science
- 32 Crossref
Special Issue Article of IDEN 2013
- Pancreatic Fluid Collection Drainage by Endoscopic Ultrasound: An Update
- Shashideep Singhal, Stephen R. Rotman, Monica Gaidhane, Michel Kahaleh
- Clin Endosc 2013;46(5):506-514. Published online September 30, 2013
- DOI: https://doi.org/10.5946/ce.2013.46.5.506
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Abstract
PDFPubReaderePub
Endoscopic management of symptomatic pancreatic fluid collections (PFCs) is now considered to be first line therapy. Expanded use of endoscopic ultrasound (EUS) techniques has resulted in increased applicability, safety, and efficacy of endoscopic transluminal PFC drainage. Steps include EUS-guided trangastric or transduodenal fistula creation into the PFC followed by stent placement or nasocystic drain deployment in order to decompress the collection. With the remarkable improvement in the available accessories and stents and development of exchange free access device; EUS drainage techniques have become simpler and less time consuming. The use of self-expandable metal stents with modifications to drain PFC has helped in overcoming some previously encountered challenges. PFCs considered suitable for endoscopic drainage include collection present for greater than 4 weeks, possessing a well-formed wall, position accessible endoscopically and located within 1 cm of the duodenal or gastric walls. Indications for EUS-guided drainage have been increasing which include unusual location of the collection, small window of entry, nonbulging collections, coagulopathy, intervening varices, failed conventional transmural drainage, indeterminate adherence of PFC to the luminal wall or suspicion of malignancy. In this article, we present a review of literature to date and discuss the recent developments in EUS-guided PFC drainage.
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