KSGE
Search
- Page Path
- HOME > Search
Original Article
- Exploring lumen-apposing metal stents as a novel approach for managing walled-off necrosis in pediatric acute pancreatitis in Indian cohort: a prospective study
- Varun Mehta, Abhinav Abhinav, Yogesh Kumar Gupta, Manisha Khubber, Ajit Sood, Manjeet Kumar Goyal
- Clin Endosc 2025;58(4):595-603. Published online May 29, 2025
- DOI: https://doi.org/10.5946/ce.2024.315
-
Graphical Abstract
Abstract
PDF
Supplementary Material
PubReader
ePub - Background
/Aims: Walled-off necrosis (WON) is a severe complication of acute pancreatitis in children, with limited evidence on its endoscopic management. This study evaluated the efficacy and safety of endoscopic ultrasonography (EUS)-guided lumen-apposing metal stent (LAMS) placement for WON in pediatric patients.
Methods
This open-label prospective study included pediatric patients aged 5–18 years with WON secondary to acute necrotizing pancreatitis that was managed with EUS-guided LAMS at a tertiary center from January 2021 to July 2023. Clinical success, defined as symptom resolution and WON clearance at 12 weeks, was the primary outcome. Secondary outcomes included technical success, complications, and the need for additional interventions.
Results
Eleven patients (mean age, 15.5±3.1 years) were included. Clinical success was achieved in 90.9% of the patients within 12 weeks, with a 100% technical success rate. Two patients experienced stent occlusions that were managed with saline irrigation; one case required video-assisted retroperitoneal debridement. The mean hospital stay was 5.4±3.3 days. No major adverse events were reported.
Conclusions
EUS-guided LAMS placement is a safe and effective alternative to surgery for pediatric WON, with high clinical and technical success rates and minimal complications. Further multicenter studies are required to validate these findings. -
Citations
Citations to this article as recorded by
- The evolving role of endoscopic ultrasound-guided lumen-apposing metal stents in the management of peri-pancreatic fluid collections
Ashita Rukmini Vuthaluru, Varun Mehta, Omesh Goyal, Prabhav Mehta, Manjeet Kumar Goyal
Therapeutic Advances in Gastroenterology.2025;[Epub] CrossRef
- The evolving role of endoscopic ultrasound-guided lumen-apposing metal stents in the management of peri-pancreatic fluid collections
- 2,655 View
- 92 Download
- 1 Web of Science
- 1 Crossref
Systematic Review and Meta-analysis
- Coaxial plastic stent placement within lumen-apposing metal stents for the management of pancreatic fluid collections: a systemic review and meta-analysis
- Jad AbiMansour, Veeravich Jaruvongvanich, Saran Velaga, Ryan Law, Andrew C. Storm, Mark Topazian, Michael J. Levy, Ryan Alexander, Eric J. Vargas, Aliana Bofill-Garica, John A. Martin, Bret T. Petersen, Barham K. Abu Dayyeh, Vinay Chandrasekhara
- Clin Endosc 2024;57(5):595-603. Published online July 24, 2024
- DOI: https://doi.org/10.5946/ce.2023.297
-
Graphical Abstract
Abstract
PDFSupplementary MaterialPubReaderePub
- Background
/Aims: Coaxial placement of double pigtail plastic stents (DPPS) through lumen-apposing metal stents (LAMSs) is commonly performed to reduce the risk of LAMS obstruction, bleeding, and stent migration when used for the drainage of pancreatic fluid collections (PFCs). A systematic review and meta-analysis were performed to compare the outcomes of LAMS alone and LAMS with coaxial DPPS placement in the management of PFCs.
Methods
A systematic review was conducted to identify studies comparing LAMS and LAMS/DPPS for PFC drainage. Primary outcomes included the rate of clinical success, overall adverse events (AEs), bleeding, infection, occlusion, and stent migration. The pooled effect size was summarized using a random-effects model and compared between LAMS and LAMS/DPPS by calculating odds ratios (ORs).
Results
Nine studies involving 709 patients were identified (338 on LAMS and 371 on LAMS/DPPS). LAMS/DPPS was associated with a reduced risk of stent obstruction (OR, 0.59; p=0.004) and infection (OR, 0.55; p=0.001). No significant differences were observed in clinical success (OR, 0.96; p=0.440), overall AEs (OR, 0.57; p=0.060), bleeding (OR, 0.61; p=0.120), or stent migration (OR, 1.03; p=0.480).
Conclusions
Coaxial DPPS for LAMS drainage of PFCs is associated with a reduced risk of stent occlusion and infection; however, no difference was observed in the overall AE rates or bleeding. -
Citations
Citations to this article as recorded by- Efficacy of Endoscopic Ultrasound‐guided Transluminal Drainage Using Lumen‐apposing Metal Stents for the Treatment of Pancreatic Fluid Collections
Keisuke Kinoshita, Kazuhisa Okamoto, Haruna Noguchi, Satoshi Fukuchi, Hidetoshi Akiyama, Mitsuteru Motomura, Yoshifumi Azuma, Yasuhisa Hiroshima, Takafumi Fuchino, Sotaro Ozaka, Ryota Sagami, Takuro Uchida, Yuka Hirashita, Kensuke Fukuda, Ryo Ogawa, Kazuh
DEN Open.2026;[Epub] CrossRef - Endoscopic Ultrasound-Guided Lumen-Apposing Metal Stent Drainage in Benign Pancreatobiliary and Gastrointestinal Disease: Evolving Techniques and Clinical Outcomes
Filippo Antonini, Marco Valvano, Edoardo Troncone, Domenico Galasso, Amedeo Montale, Mario Capasso, Matteo Marasco, Benedetto Mangiavillano, Giovanna Del Vecchio Blanco, Mauro Dalla Libera, Antonella Scarcelli, Antonio Facciorusso, Lorenzo Fuccio, Massimi
Diagnostics.2026; 16(4): 522. CrossRef - Practical management of severe acute pancreatitis
Karim Hamesch, Marcus Hollenbach, Lucía Guilabert, Tobias Lahmer, Alexander Koch
European Journal of Internal Medicine.2025; 133: 1. CrossRef - Endoscopic interventions for managing pancreatic fluid collections associated with acute pancreatitis: A state-of-the-art review (with videos)
Randeep Rana, Soumya Jagannath Mahapatra, Pramod Kumar Garg
Indian Journal of Gastroenterology.2025; 44(6): 777. CrossRef - The evolving role of endoscopic ultrasound-guided lumen-apposing metal stents in the management of peri-pancreatic fluid collections
Ashita Rukmini Vuthaluru, Varun Mehta, Omesh Goyal, Prabhav Mehta, Manjeet Kumar Goyal
Therapeutic Advances in Gastroenterology.2025;[Epub] CrossRef - International Association of Pancreatology Revised Guidelines on Acute Pancreatitis 2025: Supported and Endorsed by the American Pancreatic Association, European Pancreatic Club, Indian Pancreas Club, and Japan Pancreas Society
Andrea Párniczky, Alexandra Mikó, Aliye Uc, Anand Narayan Singh, Anshuman Elhence, Ashok Saluja, Atsushi Masamune, Barham K. Abu Dayyeh, Brian Davidson, Charles Mel Wilcox, Chris Forsmark, David Whitcomb, Deepak Gunjan, Dhiraj Yadav, Djuna Cahen, D. Nages
Pancreatology.2025; 25(6): 770. CrossRef - Exploring lumen-apposing metal stents as a novel approach for managing walled-off necrosis in pediatric acute pancreatitis in Indian cohort: a prospective study
Varun Mehta, Abhinav Abhinav, Yogesh Kumar Gupta, Manisha Khubber, Ajit Sood, Manjeet Kumar Goyal
Clinical Endoscopy.2025; 58(4): 595. CrossRef - A Critical Narrative Review of Coaxial Double-Pigtail Stenting Within the LAMS in the Management of Pancreatic Fluid Collections
Giuseppe Infantino, Gabriele Rancatore, Dario Quintini, Lucio Carrozza, Dario Ligresti, Marco Giacchetto, Nicoletta Belluardo, Giuseppe Rizzo, Elio D’Amore, Giacomo Emanuele Maria Rizzo, Ilaria Tarantino
Medicina.2025; 61(8): 1500. CrossRef - Outcomes of lumen apposing metal stent placement in patients with surgically altered anatomy: Multicenter international experience
Benedetto Mangiavillano, Daryl Ramai, Michel Kahaleh, Amy Tyberg, Haroon Shahid, Avik Sarkar, Jayanta Samanta, Jahnvi Dhar, Michiel Bronswijk, Schalk Van der Merwe, Abdul Kouanda, Hyun Ji, Sun-Chuan Dai, Pierre Deprez, Jorge Vargas-Madrigal, Giuseppe Vane
Endoscopy International Open.2024; 12(10): E1143. CrossRef
- Efficacy of Endoscopic Ultrasound‐guided Transluminal Drainage Using Lumen‐apposing Metal Stents for the Treatment of Pancreatic Fluid Collections
- 5,777 View
- 284 Download
- 9 Web of Science
- 9 Crossref
Original Article
- 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
-
Graphical Abstract
Abstract
PDFPubReaderePub
- 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- Comparative Effectiveness of Endoscopic and Percutaneous Drainage of Walled-Off Pancreatic Necrosis
Mohamed Eldesouki, Khaled Elfert, Mohamed A. Aldemerdash, Mohamed Elgozair, Muhammad M. Elsharkawy, Mohamed Youssef, Muhammad Umair Khan, Shyam Thakkar, Michel Kahaleh
Journal of Clinical Gastroenterology.2026;[Epub] CrossRef - 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 - Modern approaches to surgical treatment of pancreatic head pseudocysts
Duy Khanh Dao, Nicolai A. Sizonenko, Valery R. Goltsov
Bulletin of the Russian Military Medical Academy.2025; 27(3): 421. 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
- Comparative Effectiveness of Endoscopic and Percutaneous Drainage of Walled-Off Pancreatic Necrosis
- 5,922 View
- 168 Download
- 2 Web of Science
- 5 Crossref
Review
- 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
- Clin Endosc 2021;54(4):505-521. Published online July 27, 2021
- DOI: https://doi.org/10.5946/ce.2021.185
-
Abstract
PDFPubReaderePub
- Endoscopic ultrasonography-guided intervention has gradually become a standard treatment for peripancreatic fluid collections (PFCs). However, it is difficult to popularize the procedure in Korea because of restrictions on insurance claims regarding the use of endoscopic accessories, as well as the lack of standardized Korean clinical practice guidelines. The Korean Society of Gastrointestinal Endoscopy (KSGE) appointed a Task Force to develope medical guidelines by referring to the manual for clinical practice guidelines development prepared by the National Evidence-Based Healthcare Collaborating Agency. Previous studies on PFCs were searched, and certain studies were selected with the help of experts. Then, a set of key questions was selected, and treatment guidelines were systematically reviewed. Answers to these questions and recommendations were selected via peer review. This guideline discusses endoscopic management of PFCs and makes recommendations on Indications for the procedure, pre-procedural preparations, optimal approach for drainage, procedural considerations (e.g., types of stent, advantages and disadvantages of plastic and metal stents, and accessories), adverse events of endoscopic intervention, and procedural quality issues. This guideline was reviewed by external experts and suggests best practices recommended based on the evidence available at the time of preparation. This will be revised as necessary to address advances and changes in technology and evidence obtained in clinical practice and future studies.
-
Citations
Citations to this article as recorded by- Endoscopic ultrasound-guided pancreatic pseudocyst drainage in pediatric patients
Asma Yaseen, Javeria Salman, Shanil Kadir, Muhammad Asim, Muhammad Umair Tahseen, Noval Zakaria, Abeer Altaf, Naseer Ahmed, Mehreen Siyal, Fahad Kakar, Sajida Qureshi, Saad Khalid Niaz
World Journal of Gastrointestinal Pharmacology and Therapeutics.2026;[Epub] CrossRef - Comparative Effectiveness of Endoscopic and Percutaneous Drainage of Walled-Off Pancreatic Necrosis
Mohamed Eldesouki, Khaled Elfert, Mohamed A. Aldemerdash, Mohamed Elgozair, Muhammad M. Elsharkawy, Mohamed Youssef, Muhammad Umair Khan, Shyam Thakkar, Michel Kahaleh
Journal of Clinical Gastroenterology.2026;[Epub] CrossRef - Biopsy Needle Integrated with Rotational Oblique Spectral Ultrasound (ROSUS) Imaging
Benjamin C. Kreager, Wei-Yi Chang, Jian Tian, Huaiyu Wu, Xiaoning Jiang
Sensors.2026; 26(4): 1098. CrossRef - Benign biliary stricture caused by transduodenal lumen-apposing metal stent placement for pancreatic acute necrotic collection
Shuhei Shintani, Takuya Okamoto, Kosuke Hiroe, Hidenori Kimura, Hiroto Inoue, Atsushi Nishida, Osamu Inatomi
International Journal of Gastrointestinal Intervention.2025; 14(1): 24. CrossRef - Optimal timing for lumen-apposing metal stent removal following endoscopic ultrasound-guided drainage of pancreatic fluid collections: a systematic review and meta-analysis
Marcello Maida, Giacomo Emanuele Maria Rizzo, Mario Traina, John Gásdal Karstensen, Rogier P. Voermans, Joan B. Gornals, Nitin Jagtap, Dario Ligresti, Lucio Carrozza, Gabriele Rancatore, Marco Ventimiglia, Antonio Facciorusso, Carlo Fabbri, Andrea Anderlo
Endoscopy.2025; 57(09): 1023. CrossRef - The evolving role of endoscopic ultrasound-guided lumen-apposing metal stents in the management of peri-pancreatic fluid collections
Ashita Rukmini Vuthaluru, Varun Mehta, Omesh Goyal, Prabhav Mehta, Manjeet Kumar Goyal
Therapeutic Advances in Gastroenterology.2025;[Epub] CrossRef - Management of infected necrotizing pancreatitis with open abdomen and negative pressure therapy
Elías G. Loaeza, Sury A. L. Cancino, Roberto E. G. López, Nataly O. Hernández
International Journal of Research in Medical Sciences.2025; 13(9): 3808. CrossRef - Pancreatic Pseudocysts: Evolution of Treatment Approaches
Paulina Kluszczyk, Aleksandra Tobiasz, Adam Madej, Piotr Wosiewicz, Sławomir Mrowiec, Beata Jabłońska
Journal of Clinical Medicine.2025; 14(17): 6152. CrossRef - Pancreatic Pseudocyst after Fully Covered Self-expandable Metallic Stent Placement
Mitsuhito Koizumi, Sho Ishikawa, Kaori Marui, Masahito Kokubu, Yusuke Okujima, Yuki Numata, Yoshiki Imamura, Teru Kumagi, Yoichi Hiasa
Internal Medicine.2024; 63(21): 2943. CrossRef - Neutrophil Gelatinase-Associated Lipocalin for the Differentiation of Mucinous Pancreatic Cystic Lesions
Miruna Patricia Olar, Maria Iacobescu, Sorana D. Bolboacă, Cristina Pojoga, Ofelia Moșteanu, Radu Seicean, Ioana Rusu, Oana Banc, Cristina Adela Iuga, Andrada Seicean
International Journal of Molecular Sciences.2024; 25(6): 3224. CrossRef - Comparative outcome of single versus two double-pigtail stents for endoscopic drainage of pancreatic fluid collections with minimal necrosis: a retrospective analysis
S Giri, S Bhrugumalla, S Gangadhar, S Angadi
Acta Gastro Enterologica Belgica.2024; 87(1): 1. CrossRef - Use of an endoscopic powered debridement device for treatment of post-surgical fatty pancreatic necrosis
Judy Daboul, Shiab Mussad, Anna Cecilia Amaral, Waleed K. Hussain, Peter J. Lee, Samuel Han
Clinical Endoscopy.2024; 57(3): 412. CrossRef - Single double pigtail plastic stent (DPT) is equally effective to two double pigtail plastic stents for endoscopic ultrasonography-guided drainage of "symptomatic peripancreatic fluid collection with 30 % or less necrotic debris"
Hemanta Kumar Nayak, Shubham Gupta, Manas Kumar Panigrahi, Abhijeet Rai, Saswati Kar, Mansi Chaudhary, Ajay Ghosh, Taraprasad Tripathy, Bramhadatta Pattnaik, Subash Chandra Samal
Pancreatology.2024; 24(7): 1211. CrossRef - Advances in self-expandable metal stents for endoscopic ultrasound-guided interventions
Dong Kee Jang, Dong Wook Lee, Seong-Hun Kim, Kwang Bum Cho, Sundeep Lakhtakia
Clinical Endoscopy.2024; 57(5): 588. CrossRef - 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
Clinical Endoscopy.2024; 57(6): 735. CrossRef - Endoscopic ultrasound-guided drainage for local complications related to pancreatitis
Hyung Ku Chon, Seong-Hun Kim
International Journal of Gastrointestinal Intervention.2023; 12(1): 7. CrossRef - Cystic fluid biomarkers for the differential diagnosis of inflammatory and non-inflammatory cystic pancreatic lesions (Neutrophil gelatinase-associated lipocalin (NGAL); Interleukin 1 Beta(IL 1β); High-mobility group AT-hook 2(HmgA2))
M. P. Olar, R. Seicean, M. Iacobescu, C. A. Iuga, S. D. Bolboaca, I. Rusu, O. Mosteanu, Z. Sparchez, C. Pojoga, A. H. Nadim, A. Seicean
Endoscopy.2023; 55(S 02): S47. CrossRef - A preferable modality for the differentiation of peripancreatic fluid collections: Endoscopic ultrasound
Ning Xu, Longsong Li, Danqi Zhao, Zixin Wang, Xueting Wang, Runzi Wang, Yanbo Zeng, Lei Zhang, Ning Zhong, Ying Lv, Enqiang Linghu, Ningli Chai
Endoscopic Ultrasound.2022; 11(4): 291. 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 - Single balloon enteroscopy-guided endoscopic retrograde pancreatography for the treatment of a symptomatic pancreatic pseudocyst complicated by pancreaticojejunostomy stricture: A case report
Eunae Cho, Chang-Hwan Park, Seo Yeon Cho
Medicine.2022; 101(43): e31293. CrossRef
- Endoscopic ultrasound-guided pancreatic pseudocyst drainage in pediatric patients
- 11,605 View
- 335 Download
- 18 Web of Science
- 20 Crossref
Case Report
- Successful Endoscopic Ultrasound-Guided Treatment of a Spontaneous Rupture of a Hemorrhagic Pancreatic Pseudocyst
- Chan Park, Tae Hyeon Kim, Hyung Ku Chon
- Clin Endosc 2021;54(5):763-766. Published online March 3, 2021
- DOI: https://doi.org/10.5946/ce.2020.279
-
Abstract
PDFPubReaderePub
- Spontaneous rupture of a hemorrhagic pancreatic pseudocyst may be life-threatening. Endoscopic ultrasound (EUS)-guided drainage has been reported to be a valuable treatment option for pancreatic pseudocysts. However, its usefulness in the management of a ruptured pancreatic pseudocyst is limited. We report a rare case of a spontaneous rupture of a hemorrhagic pancreatic pseudocyst in a patient with chronic pancreatitis, which was successfully treated with EUS-guided gastrocystostomy with a fully covered self-expandable metallic stent.
-
Citations
Citations to this article as recorded by- Perforation of pancreatic pseudocyst diagnosed with endoscopy and treated with percutaneous drainage
Mako Koseki, Yusuke Hashimoto
DEN Open.2024;[Epub] CrossRef - Spontaneous rupture of an infected pseudocyst of the pancreas: A case report
Mohamed Fadhel Chtourou, Hazem Beji, Slim Zribi, Yassine Kallel, Mahdi Bouassida, Hassen Touinsi
International Journal of Surgery Case Reports.2023; 105: 107987. CrossRef - A ruptured pancreatic pseudocyst causes acute peritonitis with clinical characteristics of a gastrointestinal tract perforation
Tran Que Son, Tran Hieu Hoc, Tran Thu Huong, Ngo Quang Dinh, Pham Van Tuyen
Journal of Surgical Case Reports.2022;[Epub] CrossRef
- Perforation of pancreatic pseudocyst diagnosed with endoscopy and treated with percutaneous drainage
- 6,530 View
- 118 Download
- 4 Web of Science
- 3 Crossref
Original Articles
- Endoscopic Therapy for Pancreatic Fluid Collections: A Definitive Management Using a Dedicated Algorithm
- Ming Ming Xu, Iman Andalib, Aleksey Novikov, Enad Dawod, Moamen Gabr, Monica Gaidhane, Amy Tyberg, Michel Kahaleh
- Clin Endosc 2020;53(3):355-360. Published online December 3, 2019
- DOI: https://doi.org/10.5946/ce.2019.113
-
Abstract
PDFPubReaderePub
- Background
/Aims: Endoscopic ultrasonography (EUS)-guided drainage is the preferred approach for infected or symptomatic pancreatic fluid collections (PFCs). Here, we developed an algorithm for the management of pancreatitis complicated by PFCs and report on its effcacy and safety.
Methods
Between September 2011 and October 2017, patients were prospectively managed according to the algorithm. PFCs were classified as poorly organized fluid collections (POFCs), pancreatic pseudocysts (PPs), or walled-off pancreatic necrosis (WOPN). Clinical success was defined as a decrease in PFC size by ≥50% of the maximal diameter or to ≤2 cm.
Results
A total of 108 patients (62% male; mean age, 53 years) were included: 13 had POFCs, 43 had PPs, and 52 had WOPN. Seventytwo patients (66%) required a pancreatic duct (PD) stent, whereas 65 (60%) received enteral feeding. A total of 103 (95%) patients achieved clinical success. Eight patients experienced complications including bleeding (n=6) and surgical intervention (n=2). Patients with enteral feeding were 3.4 times more likely to achieve resolution within 60 days (p=0.0421), whereas those with PD stenting was five times more likely to achieve resolution within 90 days (p=0.0069).
Conclusions
A high PFC resolution rate can be achieved when a dedicated algorithm encompassing EUS-guided drainage, PD stenting, and early enteral feeding is adopted. -
Citations
Citations to this article as recorded by- Novel classification system for walled-off necrosis: a step toward standardized nomenclature and risk-stratification framework
Serge Baroud, Vinay Chandrasekhara, Andrew C. Storm, Ryan J. Law, Eric J. Vargas, Michael J. Levy, Tala Mahmoud, Fateh Bazerbachi, Aliana Bofill-Garcia, Rabih Ghazi, Daniel B. Maselli, John A. Martin, Santhi Swaroop Vege, Naoki Takahashi, Bret T. Petersen
Gastrointestinal Endoscopy.2023; 97(2): 300. CrossRef - Endoscopic versus percutaneous drainage for pancreatic fluid collection after pancreatic surgery: An up-to-date meta-analysis and systematic review
Liang Chen, Ting Li, Bin Wang, Yunxiao Cheng, Sicong Zhao, Yunxiao Lyu
Asian Journal of Surgery.2022; 45(8): 1519. CrossRef - Transluminal and retroperitoneal minimally invasive necrosectomy in acute pancreatitis
A. V. Fedorov, V. N. Ektov, M. A. Khodorkovskiy
Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery.2022; 27(3): 81. CrossRef - Endoscopic transluminal interventions in the treatment of acute necrotizing pancreatitis
A.V. Fedorov, V.N. Ektov, M.A. Khodorkovsky
Khirurgiya. Zhurnal im. N.I. Pirogova.2021; (9): 85. CrossRef - Hydrogen peroxide assisted endoscopic necrosectomy for walled-off pancreatic necrosis: A systematic review and meta-analysis
Rajat Garg, Shradha Gupta, Amandeep Singh, Marian T. Simonson, Tarun Rustagi, Prabhleen Chahal
Pancreatology.2021; 21(8): 1540. CrossRef - The Diagnostic Dilemma of Malignant Biliary Strictures
Robert Dorrell, Swati Pawa, Yi Zhou, Neeraj Lalwani, Rishi Pawa
Diagnostics.2020; 10(5): 337. CrossRef - Importance of Pancreatic Duct Stenting and Enteral Feeding in Treatment Algorithm of Pancreatic Fluid Collections
Seong-Hun Kim, Eun Ji Shin
Clinical Endoscopy.2020; 53(3): 253. 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
- Novel classification system for walled-off necrosis: a step toward standardized nomenclature and risk-stratification framework
- 7,767 View
- 256 Download
- 8 Web of Science
- 8 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
-
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
- 12,540 View
- 223 Download
- 8 Web of Science
- 9 Crossref
- Comparison of Clinical Outcomes between Plastic Stent and Novel Lumen-apposing Metal Stent for Endoscopic Ultrasound-Guided Drainage of Peripancreatic Fluid Collections
- Ho Cheol Shin, Chang Min Cho, Min Kyu Jung, Seong Jae Yeo
- Clin Endosc 2019;52(4):353-359. Published online March 13, 2019
- DOI: https://doi.org/10.5946/ce.2018.154
-
Abstract
PDFPubReaderePub
- Background
/Aims: Endoscopic ultrasound (EUS)-guided transmural drainage for peripancreatic fluid collections (PFCs) has gained wide acceptance as a nonsurgical intervention. Although a lumen-apposing metal stent (LAMS) was recently introduced, there are few data comparing the clinical outcomes between LAMS and plastic stent (PS) drainage.
Methods
Endoscopy databases of all patients who had undergone EUS-guided drainage for PFCs were searched and the clinical outcomes of EUS-guided drainage according to stent-type used were compared.
Results
A total of 27 patients (median age, 56 years) with PFCs underwent EUS-guided transmural drainage between January 2011 and December 2017. Of these, 17 underwent PS placement and 10 underwent LAMS placement. There was no significant difference in the technical success rate between the 2 groups (94.1% vs. 100%, p=1.0). Procedure time was shorter in the LAMS group compared to that in the PS group (10.6±2.5 min vs. 21.4±9.5 min, p=0.002). Among subjects with clinical success, recurrence of PFC after stent removal occurred in 5 of 12 patients with PS and 4 of 10 with LAMS, without statistical difference (41.7% vs. 40.0%, p=1.0).
Conclusions
Although our study showed similar clinical outcomes for LAMS and PS, further prospective trials are required to validate the superiority of LAMS. -
Citations
Citations to this article as recorded by- Endoscopic Ultrasound‐guided Drainage With Lumen‐apposing Metal Stent versus Plastic Stent for the Treatment of Pancreatic Pseudocyst: A Systematic Review and Meta‐analysis
André Orsini Ardengh, Thiago Arantes de Carvalho Visconti, Marcelo Klotz Dall'Agnol, Ygor Rocha Fernandes, Matheus de Oliveira Veras, Evellin Souza Valentim dos Santos, Marcos Eduardo Lera do Santos, Sergio Eiji Matuguma, José Celso Ardengh, Wanderley Mar
DEN Open.2026;[Epub] CrossRef - Endoscopic Step‐up Approach for Walled‐off Necrosis After Acute Pancreatitis
Shuntaro Mukai, Atsushi Sofuni, Takayoshi Tsuchiya, Reina Tanaka, Ryosuke Tonozuka, Yukitoshi Matsunami, Kazumasa Nagai, Hiroyuki Kojima, Hirohito Minami, Noriyuki Hirakawa, Kyoko Asano, Kento Shionoya, Kazuki Hama, Takao Itoi
DEN Open.2026;[Epub] CrossRef - Direct comparison of efficacy and safety of metallic stents versus plastic stents for endoscopic drainage of pancreatic pseudocysts: a systematic review and meta-analysis
Hualei Chen, Yuanyuan Ding, Xiaoming Xu
HPB.2026; 28(2): 133. CrossRef - Safety and efficacy of lumen-apposing metal stents for endoscopic ultrasound-guided drainage of pancreatic fluid collections: a systematic review and meta-analysis
Vishnu Charan Suresh Kumar, Sahib Singh, Vishali Moond, Babu P. Mohan, Ganesh Aswath, Hafiz M. A. Khan, Bishnu Sapkota, Douglas G. Adler
Endoscopy.2025; 57(03): 282. CrossRef - Efficacy and safety of long-term indwelling plastic stents after resolution of pancreatic fluid collections with endoscopic transmural drainage: a systematic review and meta-analysis
Fadi Hawa, Jean M. Chalhoub, Ana Vilela, Elit Quingalahua, Carol Shannon, George M. Philips, Richard S. Kwon, Erik-Jan Wamsteker, Allison R. Schulman, Matthew J. DiMagno, Jorge D. Machicado
Surgical Endoscopy.2024; 38(5): 2350. CrossRef - Multicenter study of the efficacy and safety of electrocautery-enhanced lumen-apposing metal stents for the internal drainage of pancreatic fluid collections
Chen-Shuan Chung, Yu-Ting Kuo, Yi-Chun Chiu, Yang-Chao Lin, Chi-Ying Yang, Kuan-Chih Chen, Szu-Chia Liao, Cheuk-Kay Sun, Yen-Chih Lin, Hsiu-Po Wang
Scientific Reports.2024;[Epub] 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 - Endoscopic ultrasound-guided pancreatic fluid collection drainage: Where are we?
Anupam Kumar Singh, Manish Manrai, Rakesh Kochhar
World Journal of Gastrointestinal Endoscopy.2024; 16(6): 273. CrossRef - Comparative Efficacy and Safety of Different Stent Types for Pancreatic Fluid Collections: A Systematic Review and Network Meta-Analysis
Faisal Kamal, Muhammad Aziz, Wade Lee-Smith, Sachit Sharma, Ashu Acharya, Muhammad Ali Khan, Umer Farooq, Zahid Ijaz Tarar, Manesh Kumar Gangwani, Umar Hayat, Anand Kumar, Alexander Schlacterman, Thomas Kowalski, Douglas G. Adler
Digestive Diseases and Sciences.2024; 69(9): 3466. CrossRef - Head‐to‐head comparison between endoscopic ultrasound guided lumen apposing metal stent and plastic stents for the treatment of pancreatic fluid collections: A systematic review and meta‐analysis
Edson Guzmán‐Calderón, Alfonso Chacaltana, Ramiro Díaz, Bruno Li, Belen Martinez‐Moreno, José Ramón Aparicio
Journal of Hepato-Biliary-Pancreatic Sciences.2022; 29(2): 198. CrossRef - JPNclinical practice guidelines 2021 with easy‐to‐understand explanations for the management of acute pancreatitis
Tadahiro Takada, Shuji Isaji, Toshihiko Mayumi, Masahiro Yoshida, Yoshifumi Takeyama, Takao Itoi, Keiji Sano, Yusuke Iizawa, Atsushi Masamune, Morihisa Hirota, Kohji Okamoto, Dai Inoue, Nobuya Kitamura, Yasuhisa Mori, Shuntaro Mukai, Seiki Kiriyama, Kunih
Journal of Hepato-Biliary-Pancreatic Sciences.2022; 29(10): 1057. CrossRef - Comparison Between Lumen-Apposing Metal Stents and Plastic Stents in Endoscopic Ultrasound–Guided Drainage of Pancreatic Fluid Collection
Yunxiao Lyu, Ting Li, Bin Wang, Yunxiao Cheng, Liang Chen, Sicong Zhao
Pancreas.2021; 50(4): 571. 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 - Current treatment of pancreatic pseudocysts: a systematic review
V. M. Durleshter, S. R. Genrikh, A. V. Makarenko, D. S. Kirakosyan
Kuban Scientific Medical Bulletin.2021; 28(4): 85. 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 - 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 - Are Lumen-Apposing Metal Stents More Effective Than Plastic Stents for the Management of Pancreatic Fluid Collections: An Updated Systematic Review and Meta-analysis
Shali Tan, Chunyu Zhong, Yutang Ren, Xujuan Luo, Jin Xu, Yan Peng, Xiangsheng Fu, Xiaowei Tang
Gastroenterology Research and Practice.2020; 2020: 1. CrossRef - A Comparison of Endoscopic Versus Surgical Creation of a Cystogastrostomy to Drain Pancreatic Pseudocysts and Walled-Off Pancreatic Necrosis in 5500 Patients
Patrick Suggs, Timothy NeCamp, John Alfred Carr
Annals of Surgery Open.2020; 1(2): e024. CrossRef - Endoscopic Ultrasound-Guided Drainage of Peripancreatic Fluid Collections
Eun Young Kim, Robert H. Hawes
Clinical Endoscopy.2019; 52(4): 299. CrossRef
- Endoscopic Ultrasound‐guided Drainage With Lumen‐apposing Metal Stent versus Plastic Stent for the Treatment of Pancreatic Pseudocyst: A Systematic Review and Meta‐analysis
- 8,456 View
- 226 Download
- 18 Web of Science
- 19 Crossref
Focused Review Series: Expanding the Indication with Safety Issue of Endoscopic Ultrasound
- Safety and Complications of Interventional Endoscopic Ultrasound
- Monica Saumoy, Michel Kahaleh
- Clin Endosc 2018;51(3):235-238. Published online July 19, 2017
- DOI: https://doi.org/10.5946/ce.2017.081
-
Abstract
PDFPubReaderePub
- Endoscopic ultrasound (EUS) has become an essential tool for the diagnostic and therapeutic intervention of gastrointestinal diseases. Beyond the drainage of fluid collections, it enables decompression of inaccessible bile and pancreatic ducts, the gallbladder, and the creation of anastomosis within the gastrointestinal tract using fully lumen-apposing stents. This review explored the safety and efficacy of these novel procedures and discussed the training pathway that is necessary to perform them efficiently and safely.
-
Citations
Citations to this article as recorded by- An optimal curriculum for training in endoscopic ultrasound: a summarized evidence-based literature systematic review
Julieta Montanelli, Ariosto Honorio Hernandez Lara, Ana Karla Uribe Rivera, Juan Manuel Verde, Eike Burmester, Mohammad A. Al-Haddad, Stephan Hollerbach, Peter Vilmann, Monder Abu-Suboh Abadia, Abdenor Badaoui, Paolo Giorgio Arcidiacono, Christoph Schlag,
Surgical Endoscopy.2025; 39(7): 4076. CrossRef - A novel intravascular navigational ultrasound system for transjugular intrahepatic portosystemic shunt procedures
Lei Xiao, Guanqiang Li, Bo Hu, Ming Chen, Yuan Sun, Xicheng Zhang, Xiaohua Jian, Xianchen Huang
CVIR Endovascular.2025;[Epub] CrossRef - Semiautomated electronic medical record based system for monitoring delayed adverse events in pediatric endoscopy and sedation
Jonathan Wong, Tea Abazi, Rob Thielke, Diana Lerner
Journal of Pediatric Gastroenterology and Nutrition.2024; 79(1): 154. CrossRef - Three-year evaluation of a novel, nonfluoroscopic, all-artificial model for EUS-guided biliary drainage training for the impact to practice: A prospective observational study (with videos)
Tanyaporn Chantarojanasiri, Aroon Siripun, Pradermchai Kongkam, Nonthalee Pausawasdi, Thawee Ratanachu-ek
Endoscopic Ultrasound.2023; 12(1): 96. CrossRef - Role of interventional endoscopic ultrasound in a developing country
Hasan Maulahela, Nagita Gianty Annisa, Achmad Fauzi, Kaka Renaldi, Murdani Abdullah, Marcellus Simadibrata, Dadang Makmun, Ari Fahrial Syam
Clinical Endoscopy.2023; 56(1): 100. CrossRef - SURGICAL TACTICS FOR HEMORRHAGIC COMPLICATIONS OF PANCREONECROSIS
V. V. Boyko, A. O. Merkulov, O. M. Shevchenko, С. V. Tkach, A. S. Moiseenko, E. O. Bilodid, I. A. Kulyk
Kharkiv Surgical School.2023; (3): 17. CrossRef - Efficacy and Safety of Percutaneous Transhepatic Cholangioscopy with the Spyglass DS Direct Visualization System in Patients with Surgically Altered Anatomy: A Pilot Study
Hyung Ku Chon, Keum Ha Choi, Sang Hyun Seo, Tae Hyeon Kim
Gut and Liver.2022; 16(1): 111. CrossRef - Interventional endoscopy for abdominal transplant patients
Tom K. Lin, Maisam Abu-El-Haija, Juan P. Gurria, Michelle Saad, David S. Vitale
Seminars in Pediatric Surgery.2022; 31(3): 151190. CrossRef - Endoscopic Advancements in Pediatric Pancreatitis
Michelle Saad, David S. Vitale
Frontiers in Pediatrics.2022;[Epub] CrossRef - Therapeutic endoscopic ultrasound
Resheed Alkhiari, Michel Kahaleh
Saudi Journal of Gastroenterology.2021; 27(5): 259. CrossRef - Advances in gastrointestinal surgical endoscopy
Reno Rudiman
Annals of Medicine and Surgery.2021; 72: 103041. CrossRef - Endoscopic Management of Pancreaticobiliary Disease
Catherine F. Vozzo, Madhusudhan R. Sanaka
Surgical Clinics of North America.2020; 100(6): 1151. CrossRef - The Utility of Endoscopic Ultrasound in Patients with Isolated Elevations in Serum Amylase and/or Lipase
Lalitha M. Sitaraman, Amit H. Sachdev, Tamas A. Gonda, Amrita Sethi, John M. Poneros, Frank G. Gress
Clinical Endoscopy.2019; 52(2): 175. CrossRef - Endoscopic Ultrasound-Guided Biliary Drainage for Benign Biliary Diseases
Yousuke Nakai, Hirofumi Kogure, Hiroyuki Isayama, Kazuhiko Koike
Clinical Endoscopy.2019; 52(3): 212. CrossRef
- An optimal curriculum for training in endoscopic ultrasound: a summarized evidence-based literature systematic review
- 9,001 View
- 263 Download
- 13 Web of Science
- 14 Crossref
Review
- Necrotizing Pancreatitis: Current Management and Therapies
- Christine Boumitri, Elizabeth Brown, Michel Kahaleh
- Clin Endosc 2017;50(4):357-365. Published online May 16, 2017
- DOI: https://doi.org/10.5946/ce.2016.152
-
Abstract
PDFPubReaderePub
- Acute necrotizing pancreatitis accounts for 10% of acute pancreatitis (AP) cases and is associated with a higher mortality and morbidity. Necrosis within the first 4 weeks of disease onset is defined as an acute necrotic collection (ANC), while walled off pancreatic necrosis (WOPN) develops after 4 weeks of disease onset. An infected or symptomatic WOPN requires drainage. The management of pancreatic necrosis has shifted away from open necrosectomy, as it is associated with a high morbidity, to less invasive techniques. In this review, we summarize the current management and therapies for acute necrotizing pancreatitis.
-
Citations
Citations to this article as recorded by- Comparative Effectiveness of Endoscopic and Percutaneous Drainage of Walled-Off Pancreatic Necrosis
Mohamed Eldesouki, Khaled Elfert, Mohamed A. Aldemerdash, Mohamed Elgozair, Muhammad M. Elsharkawy, Mohamed Youssef, Muhammad Umair Khan, Shyam Thakkar, Michel Kahaleh
Journal of Clinical Gastroenterology.2026;[Epub] CrossRef - Microbial dynamics of acute pancreatitis: integrating culture, sequencing, and bile impact on bacterial populations and gaseous metabolites
Agnieszka Chmielarczyk, Edyta Golińska, Anna Tomusiak-Plebanek, Natalia Żeber-Lubecka, Maria Kulecka, Antoni Szczepanik, Katarzyna Jedlińska, Krzysztof Mech, Konrad Szaciłowski, Agata Kuziak, Agata Pietrzyk, Magdalena Strus
Frontiers in Microbiology.2025;[Epub] CrossRef - Early Readmissions of Necrotizing Pancreatitis in the US
Dushyant Singh Dahiya, Bhanu Siva Mohan Pinnam, Saurabh Chandan, Hassam Ali, Manesh Kumar Gangwani, Sahib Singh, Andrew Canakis, Fariha Hasan, Amna Iqbal, Amir H. Sohail, Saqr Alsakarneh, Mohammad Al-Haddad, Neil R. Sharma, Amit Rastogi
Journal of Clinical Gastroenterology.2025;[Epub] CrossRef - Colonic complications in acute pancreatitis: management experience from a single institution
Amos N. Liew, Raelene Y. M. Tan, Mithra Sritharan, Daniel Croagh
International Surgery Journal.2025; 12(5): 773. CrossRef - The Multidisciplinary Approach to Acute Necrotizing Pancreatitis
Dana Ben-Ami Shor, Einat Ritter, Tom Borkovsky, Erwin Santo
Journal of Clinical Medicine.2025; 14(9): 2904. CrossRef - Radiological Assessment After Pancreaticoduodenectomy for a Precision Approach to Managing Complications: A Narrative Review
Fabrizio Urraro, Vittorio Patanè, Alfredo Clemente, Nicoletta Giordano, Damiano Caputo, Roberto Cammarata, Gianluca Costa, Alfonso Reginelli
Journal of Personalized Medicine.2025; 15(6): 220. CrossRef - Minimally invasive approach versus open approach in the management of necrotizing acute pancreatitis: A systematic review and meta-analysis
Matteo Matteucci, Maria Chiara Ranucci, Salvatore Guarino, Bruno Cirillo, Luca Properzi, Justin Davies, Pietro Ursi, Vito D’Andrea, Roberto Cirocchi
Annals of Hepato-Biliary-Pancreatic Surgery.2025; 29(3): 226. CrossRef - 8-Years’ experience of the interventional and non-interventional treatment of pancreatic and peripancreatic necrosis in patients with severe acute pancreatitis secondary to gallstones and alcohol abuse. A single centre analysis
Davide Di Mauro, Alex Reece-Smith, Ikechukwu Njere, Shahjehan Wajed, Antonio Manzelli
Acta Chirurgica Belgica.2025; 125(5): 244. CrossRef - Decoding the Natural History of Alcohol-Related Recurrent Acute Pancreatitis and Progression to Early Chronic Pancreatitis: Clinical, Biochemical, and Imaging Insights from a Single-Center Retrospective Study in France
Alexandru-Ionut Coseru, Faiza Khemissa, Diana Elena Floria, Constantin Simiras, Mihai Catalina, Roxana Nemteanu, Alina Plesa, Vasile-Liviu Drug
Journal of Clinical Medicine.2025; 14(21): 7830. CrossRef - Prediction and evaluation of a nomogram model for recurrent acute pancreatitis
Yuan Chen, Shu Huang, Bei Luo, Jiao Jiang, Wensen Ren, Kang Zou, Xiaolin Zhong, Muhan Lü, Xiaowei Tang
European Journal of Gastroenterology & Hepatology.2024; 36(5): 554. CrossRef - Hypertriglyceridemia‐induced acute necrotizing pancreatitis: Poor clinical outcomes requiring revisiting management modalities
Yazan Abboud, Meet Shah, Benjamin Simmons, Kranthi Mandava, John E M Morales, Fouad Jaber, Saqer Alsakarneh, Mohamed Ismail, Kaveh Hajifathalian
JGH Open.2024;[Epub] CrossRef - Material basis and molecular mechanisms of Chaihuang Qingyi Huoxue Granule in the treatment of acute pancreatitis based on network pharmacology and molecular docking-based strategy
Jia Yang, Yu-Hong Jiang, Xin Zhou, Jia-Qi Yao, Yang-Yang Wang, Jian-Qin Liu, Peng-Cheng Zhang, Wen-Fu Tang, Zhi Li
Frontiers in Immunology.2024;[Epub] CrossRef - Natural History and Microbiological Profiles of Patients With Acute Pancreatitis With Suspected Infected Pancreatic Necrosis
Praveen Kumar Loganathan, Gaurav Muktesh, Rakesh Kochhar, Jayanta Samanta, Jimil Shah, Archana Angrup
Cureus.2024;[Epub] CrossRef - A clinical study correlating the serum levels of lactate dehydrogenase, C-reactive protein, and lipase with the severity and related complications of acute pancreatitis
Partha Chakraborty, Sasanka Nath, Pankaj Kumar Halder, Dhiman Kumar Nayak, Suparna Halder, Arun Kumar Gupta
Muller Journal of Medical Sciences and Research.2024; 15(2): 83. CrossRef - Management of Pancreatic Fluid Collections
Sohini Sameera, Tayyaba Mohammad, Kelvin Liao, Haroon Shahid, Avik Sarkar, Amy Tyberg, Michel Kahaleh
Journal of Clinical Gastroenterology.2023; 57(4): 346. CrossRef - Clinical characteristics and risk factors of organ failure and death in necrotizing pancreatitis
Liqing Yu, Fengwen Xie, Lingyu Luo, Yupeng Lei, Xin Huang, Xiaoyu Yang, Yong Zhu, Cong He, Nianshuang Li, Wenhua He, Yin Zhu, Nonghua Lu, Bingjun Yu
BMC Gastroenterology.2023;[Epub] CrossRef - Percutaneous endoscopic necrosectomy (PEN) for treatment of necrotizing pancreatitis: a systematic review and meta-analysis
Mihajlo Gjeorgjievski, Abishek Bhurwal, Abhishek A. Chouthai, Abdelhai Abdelqader, Monica Gaidhane, Haroon Shahid, Amy Tyberg, Avik Sarkar, Michel Kahaleh
Endoscopy International Open.2023; 11(03): E258. CrossRef - A case report of gastroduodenal artery pseudoaneurysm and giant pancreatic pseudocyst following acute pancreatitis revealed by obstructive jaundice
Malek Barka, Arib Rguez, Yasser Ben Cheikh, Mohamed Ali Chaouch, Mohamed Salah Jarrar, Zied Ben Abdessalem, Fehmi Hamila, Sabri Youssef
SAGE Open Medical Case Reports.2023;[Epub] CrossRef - Endoscopic versus minimally invasive surgical approach for infected necrotizing pancreatitis: a systematic review and meta-analysis of randomized controlled trials
Penghao Tang, Kamran Ali, Hayat Khizar, Yuanzhi Ni, Zhiwen Cheng, Benfeng Xu, Zhiwen Qin, Wu Zhang
Annals of Medicine.2023;[Epub] CrossRef - COVID-19 PANDEMİYASI ŞƏRAİTİNDƏ TƏCİLİ CƏRRAHİ YARDIMIN XÜSUSİYYƏTLƏRİ
S. Zaiets, M. Dudchenko, V. Horoshko, R. Prykhidko, M. Kravtsiv, S. Danylchenko
Azerbaijan Medical Journal.2023; (3): 128. CrossRef - Diallyl Disulfide Attenuates STAT3 and NF-κB Pathway Through PPAR-γ Activation in Cerulein-Induced Acute Pancreatitis and Associated Lung Injury in Mice
Mathan Kumar Marimuthu, Anbalagan Moorthy, Tamizhselvi Ramasamy
Inflammation.2022; 45(1): 45. CrossRef - Fatal acute necrotizing pancreatitis in a 15 years old boy, is it multisystem inflammatory syndrome in children associated with COVID-19; MIS-C?
Masoumeh Asgarshirazi, Khadije Daneshjou, Seyed Reza Raeeskarami, Mohammad Reza Keramati, Samrand Fattah Ghazi
Archives of Case Reports.2022; 6(1): 001. CrossRef - Necrotizing Pancreatitis: To Anticoagulate or Not to Anticoagulate?
Simon P Abi-Saleh, Ethan A Miller, Anil Magge, Mario Perez
Cureus.2022;[Epub] CrossRef - Early prediction of acute necrotizing pancreatitis by artificial intelligence: a prospective cohort-analysis of 2387 cases
Szabolcs Kiss, József Pintér, Roland Molontay, Marcell Nagy, Nelli Farkas, Zoltán Sipos, Péter Fehérvári, László Pecze, Mária Földi, Áron Vincze, Tamás Takács, László Czakó, Ferenc Izbéki, Adrienn Halász, Eszter Boros, József Hamvas, Márta Varga, Artautas
Scientific Reports.2022;[Epub] CrossRef - A huge preperitoneal collection following acute necrotizing pancreatitis: A case report and the management approach
Mohammad Ashouri, Kiana Tadbir Vajargah, Narjes Mohammadzadeh, Sepehr Sahraian
Annals of Medicine and Surgery.2022; 78: 103843. CrossRef - Video-assisted retroperitoneal debridement for infected pancreatic necrosis: A single center series
Chih Ching Wu, David T. Martin, Brent D. Bauman, Stuart K. Amateau, Nabeel Azeem, James V. Harmon
International Journal of Surgery Case Reports.2022; 95: 107254. CrossRef - Immediate Catheter Drainage Versus Delayed Drainage in the Management of Infected Necrotizing Pancreatitis
Wahidullah Dost, Farzad Qasemi, Wahida Ali, Tahmina Aini, Mohammad Qaher Rasully , Jamaluddin Niazi, Rana Sarhadi jamal, Maseha Sayer, Laila Tul Qadar, Sultan Masoud Shah Afzali
Cureus.2022;[Epub] CrossRef - Acute necrotizing pancreatitis and disconnected pancreatic duct syndrome associated with COVID-19
Luiz H. CAPAVERDE, Laura B. HINRICHSEN, Beatriz FETZNER, Marina P. PIETA, Anna M. CARDOSO, Laurence B. COSTA, Christina C. DUARTE
Chirurgia.2022;[Epub] CrossRef - Massive emphysematous pancreatitis associated with duodenal microperforation
Michael van der Mark, Merwe Hartslief
Journal of Surgical Case Reports.2022;[Epub] CrossRef - Infectious Complications of Acute Pancreatitis Is Associated with Peripheral Blood Phagocyte Functional Exhaustion
Yaroslav M. Susak, Olexandr O. Dirda, Olexandr G. Fedorchuk, Olekcandr A. Tkachenko, Larysa M. Skivka
Digestive Diseases and Sciences.2021; 66(1): 121. CrossRef - Necrotizing pancreatitis: A review for the acute care surgeon
Shravan Leonard-Murali, Jonathan Lezotte, Richard Kalu, Dionne J. Blyden, Joe H. Patton, Jeffrey L. Johnson, Arielle H. Gupta
The American Journal of Surgery.2021; 221(5): 927. CrossRef - Acute necrotizing pancreatitis: Has conservative management replaced surgery? Perspective from a tertiary care centre in Pakistan: A cross-sectional study
Fatima Mannan, Roger Christopher Gill, Abdul Ahad Sohail, Rehman Alvi, Khabir Ahmad
Annals of Medicine and Surgery.2021; 63: 102159. CrossRef - The role of procalcitonin in reducing antibiotics across the surgical pathway
Massimo Sartelli, Luca Ansaloni, Michele Bartoletti, Fausto Catena, Maurizio Cardi, Francesco Cortese, Francesco Di Marzo, Federico Pea, Mario Plebani, Gian Maria Rossolini, Gabriele Sganga, Bruno Viaggi, Pierluigi Viale
World Journal of Emergency Surgery.2021;[Epub] CrossRef - Acute Complicated Necrotising Pancreatitis Treated with Video-Assisted Retroperitoneal Debridement
Sergejs Šapovalovs, Viktors Ļiņovs, Andris Gardovskis, Sintija Lapsa, Māris Pavārs, Jānis Gardovskis
Proceedings of the Latvian Academy of Sciences. Section B. Natural, Exact, and Applied Sciences..2021; 75(2): 136. CrossRef - A Comprehensive Review of Endoscopic Management of Sleeve Gastrectomy Leaks
Mihajlo Gjeorgjievski, Zaid Imam, Mitchell S. Cappell, Laith H. Jamil, Michel Kahaleh
Journal of Clinical Gastroenterology.2021; 55(7): 551. CrossRef - Fournier's gangrene complicating severe acute pancreatitis: a case report and literature review
Gautham Krishnamurthy, Patta Radhakrishna, Aswin Khanna, Karthikeyan Damodaran
Journal of Pancreatology.2021; 4(3): 130. CrossRef - Acute Pancreatitis During COVID-19 Pandemic: An Overview of Patient Demographics, Disease Severity, Management and Outcomes in an Acute District Hospital in Northern Ireland
Bakhat Yawar, Ahmed Marzouk, Heba Ali, Ayeisha Asim, Tamer Ghorab, Zahid Bahli, Mohammad Abousamra, Samara Fleville
Cureus.2021;[Epub] CrossRef - Endoscopic Retroperitoneal Necrosectomy for Infected Pancreatic Necrosis Using a Self-Expandable Metal Stent
Gaurav Patil, Amit Maydeo, Ankit Dalal, Arun Iyer, Rajdeep More, Shivaji Thakare
GE - Portuguese Journal of Gastroenterology.2021; 28(6): 425. CrossRef - ENTERAL TUBE FEEDING IN ACUTE PANCREATITIS AND ITS COMPLICATIONS
I. V. Kolosovych, I. V. Hanol, I. V. Cherepenko
World of Medicine and Biology.2021; 17(78): 75. 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 - Chrm3 protects against acinar cell necrosis by stabilizing caspase‐8 expression in severe acute pancreatitis mice model
Ning Huang, Ghulam Murtaza, Lujing Wang, Jing Luan, Xinlei Wang, Yumiao Sun, Xing Wu, Yuxi Tao, Shuoxi Shi, Peihua Cao, Yu Qiao, Dong Han, Jiayuan Kou, Ning Ma, Xu Gao
Journal of Cellular Biochemistry.2020; 121(3): 2618. CrossRef - Another case of spontaneous gastric decompression and resolution of infected walled-off pancreatic necrosis: is it time to change approach?
Giovanni Valentini, Monica Surace, Dario Mazzucco
Minerva Gastroenterologica e Dietologica.2020;[Epub] CrossRef - β‐Arrestin1 alleviates acute pancreatitis via repression of NF‐κBp65 activation
Li Tao, Xianyi Lin, Siwei Tan, Yiming Lei, Huiling Liu, Yuwei Guo, Fengping Zheng, Bin Wu
Journal of Gastroenterology and Hepatology.2019; 34(1): 284. CrossRef - An overview of walled-off pancreatic necrosis for clinicians
Surinder Singh Rana
Expert Review of Gastroenterology & Hepatology.2019; 13(4): 331. CrossRef - Outcomes of Infected versus Symptomatic Sterile Walled-Off Pancreatic Necrosis Treated with a Minimally Invasive Therapy
Jong Jin Hyun, Nadav Sahar, AnSingla, Andrew S. Ross, Shayan S. Irani, S. Ian Gan, Michael C. Larsen, Richard A. Kozarek, Michael Gluck
Gut and Liver.2019; 13(2): 215. 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 - Management of infected pancreatic necrosis in the setting of concomitant rectal cancer: A case report and review of literature
Kihoon Choi, David E Flynn, Anitha Karunairajah, Andrew Hughes, Ambika Bhasin, Benedict Devereaux, Manju D Chandrasegaram
World Journal of Gastrointestinal Surgery.2019; 11(4): 237. CrossRef - Acute Pancreatitis Task Force on Quality: Development of Quality Indicators for Acute Pancreatitis Management
Elaina Vivian, Leslie Cler, Darwin Conwell, Gregory A. Coté, Richard Dickerman, Martin Freeman, Timothy B. Gardner, Robert H. Hawes, Prashant Kedia, Rajesh Krishnamoorthi, Hellen Oduor, Stephen J. Pandol, Georgios I. Papachristou, Andrew Ross, Amrita Seth
American Journal of Gastroenterology.2019; 114(8): 1322. CrossRef - Outcomes from different minimally invasive approaches for infected necrotizing pancreatitis
Yong Hu, Xun Jiang, Chunyan Li, Yunfeng Cui
Medicine.2019; 98(24): e16111. CrossRef - Changes in pathogen spectrum and antimicrobial resistance development in the time‐course of acute necrotizing pancreatitis
Silvia Würstle, Alexander Hapfelmeier, Caroline Wöhrle, Karl Dichtl, Tobias Lahmer, Sebastian Rasch, Wolfgang Huber, Andreas Weber, Hana Algül, Christoph Spinner, Matthias Pichler, Roland M Schmid, Julia Mayerle, Jochen Schneider
Journal of Gastroenterology and Hepatology.2019; 34(12): 2096. CrossRef - Hemodynamic Instability Secondary to Inferior Vena Cava Compression: A Rare Complication of Massive Walled-off Pancreatic Necrosis
Tanvi Goyal, Toseef Javaid, Anirudh Goyal, Zubair Khan
ACG Case Reports Journal.2019; 6(10): e00269. CrossRef - Infections in Acute Pancreatitis: A Review
Journal of Gastrointestinal Infections.2019; 9(1): 28. CrossRef - Review of Current Evidence in Acute Pancreatitis
Samantha Varley, Kirsten Rossi, Meghan Murray, Alissa Nichole
OBM Hepatology and Gastroenterology.2019; 03(03): 1. CrossRef - Phytoceuticals in Acute Pancreatitis: Targeting the Balance between Apoptosis and Necrosis
Laura Gaman, Dorin Dragos, Adelina Vlad, Georgiana Catalina Robu, Mugurel Petrinel Radoi, Laura Stroica, Mihaela Badea, Marilena Gilca, Silvia Wein
Evidence-Based Complementary and Alternative Medicine.2018;[Epub] CrossRef - Minimally Invasive Retroperitoneal Approach for Pancreatic Necrosectomy via a Percutaneous Drainage Tract
AA Polydorou, EV Pantiora, A Vezakis, P-T Arkoumanis, CJ Psichogios, EA Kontis, Georgios P Fragulidis, G Polymeneas
Hellenic Journal of Surgery.2018; 90(1): 9. CrossRef - INT-777, a bile acid receptor agonist, extenuates pancreatic acinar cells necrosis in a mouse model of acute pancreatitis
Baiqiang Li, Na Yang, Chuling Li, Chuwei Li, Kun Gao, Xiaochun Xie, Xiaowu Dong, Jing Yang, Qi Yang, Zhihui Tong, Guotao Lu, Weiqin Li
Biochemical and Biophysical Research Communications.2018; 503(1): 38. CrossRef - Diagnostik und stadienadaptierte Therapie der akuten Pankreatitis
U. Herbers, C. Trautwein, F. Tacke, A. Koch
Medizinische Klinik - Intensivmedizin und Notfallmedizin.2018; 113(7): 593. CrossRef
- Comparative Effectiveness of Endoscopic and Percutaneous Drainage of Walled-Off Pancreatic Necrosis
- 26,925 View
- 1,064 Download
- 55 Web of Science
- 57 Crossref
Original Article
- 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
-
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; 70(5): 1906. CrossRef - Endoscopic Management of Recurrent Acute Pancreatitis
Pier Alberto Testoni, Sabrina Testoni
Journal of Clinical Medicine.2025; 14(7): 2150. CrossRef - Management of the Disconnected Pancreatic Duct in Pancreatic Necrosis
C. Mel Wilcox, Ji Young Bang, Akwi Asombang, Chloe Bennett, Yan Bi, Wojciech Blogowski, James Buxbaum, Vinay Chandrasekhara, Wei-Shen Chin, Darwin Conwell, Gregory A. Coté, Timothy B. Gardner, Pramod Garg, Nalini Guda, Robert Hawes, Yasmin G. Hernandez-Ba
Clinical Gastroenterology and Hepatology.2025; 23(11): 1878. CrossRef - Pancreatic Pseudocysts: Evolution of Treatment Approaches
Paulina Kluszczyk, Aleksandra Tobiasz, Adam Madej, Piotr Wosiewicz, Sławomir Mrowiec, Beata Jabłońska
Journal of Clinical Medicine.2025; 14(17): 6152. 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
- 8,960 View
- 191 Download
- 35 Web of Science
- 34 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
-
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.
-
Citations
Citations to this article as recorded by- Clinical Outcomes and Risk Factors for Adverse Events Associated With Endoscopic Ultrasound‐Guided Drainage of Postoperative Pancreatic Fluid Collections Following Distal Pancreatectomy
Ho Seung Lee, Gunn Huh, Yoonchan Lee, Sung Hyun Cho, Jae Min Lee, Tae Jun Song, Dong‐Wan Seo, Dongwook Oh
Journal of Gastroenterology and Hepatology.2026;[Epub] CrossRef - 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(C): 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
Wen-Bin Ran, Jing Shan, Xiao-Bin Sun
World Chinese Journal of Digestology.2020; 28(5): 189. CrossRef - Pancreatic fluid collections: Clinical manifestations, diagnostic evaluation and management
Chandraprakash Umapathy, Mahesh Gajendran, Rupinder Mann, Umesha Boregowda, Thimmaiah Theethira, Sherif Elhanafi, Abhilash Perisetti, Hemant Goyal, Shreyas Saligram
Disease-a-Month.2020; 66(11): 100986. CrossRef - Severe acute pancreatitis: eight fundamental steps revised according to the ‘PANCREAS’ acronym
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
- Clinical Outcomes and Risk Factors for Adverse Events Associated With Endoscopic Ultrasound‐Guided Drainage of Postoperative Pancreatic Fluid Collections Following Distal Pancreatectomy
- 13,005 View
- 476 Download
- 37 Web of Science
- 33 Crossref
Case Report
- Mediastinal Pancreatic Pseudocysts
- Krzysztof Dąbkowski, Andrzej Białek, Maciej Kukla, Janusz Wójcik, Andrzej Smereczyński, Katarzyna Kołaczyk, Tomasz Grodzki, Teresa Starzyńska
- Clin Endosc 2017;50(1):76-80. Published online September 13, 2016
- DOI: https://doi.org/10.5946/ce.2016.089
-
Abstract
PDFPubReaderePub
- Mediastinal pseudocysts are a rare complication of acute pancreatitis. Lack of uniform treatment standards makes the management of this condition a clinical challenge. We report the case of a 43-year-old patient who presented with a left pleural effusion. Pleural fluid revealed a high amylase concentration consistent with a pancreaticopleural fistula. Endoscopic retrograde cholangiopancreatography (ERCP) revealed a disruption of the pancreatic duct with free outflow of contrast medium into the thoracic cavity. A pancreatic stent was placed. The second day after the ERCP, the patient developed septic shock and was admitted to the intensive care unit. Computed tomography (CT) revealed mediastinal pseudocysts and bilateral pleural effusions. After bilateral drainage of the pleural cavities, the patient improved clinically, and a follow-up CT scan showed that the fluid collection and pseudocysts had resolved. We discuss the optimal strategies for diagnosing and treating patients with pancreatic thoracic pseudocysts and fistulas, as well as review the management of these conditions.
-
Citations
Citations to this article as recorded by- An anterior mediastinal cystic lesion pathologically confirmed as a mediastinal pancreatic pseudocyst after thoracoscopic resection: a rare case report and literature review
Kui Zhai, Xingpeng Miao, Guiling Xue, Zhanyu Yuan, Mao Jia, Mingyan Chen, Renzhong Zha
Frontiers in Pediatrics.2025;[Epub] CrossRef - Unveiling Rare Complications: Pancreatic Pseudocysts and Monomicrobial Non-neutrocytic Bacterascites in Decompensated Cirrhosis
Harshitha Reddy, Rushikesh H Dhondge, Sunil Kumar, Sourya Acharya
Cureus.2024;[Epub] CrossRef - Surgical Treatment of Complicated Chronic Pancreatitis: Nine Years of Experience
G. I. Dryazhenkov, I. G. Dryazhenkov, S. I. Balnykov, E. V. Kalashyan, S. V. Sheronin, O. I. Shirshov
Surgical practice (Russia).2024; (2): 36. CrossRef - WITHDRAWN: A Rare Cause of Peri-esophageal Cystic Lesion
Xiying Dong, Dong Wu
Gastroenterology.2023; 164(2): 191. CrossRef - Diagnostic approach for mediastinal masses with radiopathological correlation
Masashi Taka, Satoshi Kobayashi, Kaori Mizutomi, Dai Inoue, Shigeyuki Takamatsu, Toshifumi Gabata, Isao Matsumoto, Hiroko Ikeda, Takeshi Kobayashi, Hiroshi Minato, Hitoshi Abo
European Journal of Radiology.2023; 162: 110767. CrossRef - Mediastinal extension of pancreatic pseudocysts causing portal hypertension
Leni Santiana, Viola Stephanie Warokko, Dikki Drajat Kusmayadi Surachman, Harry Galuh Nugraha
Radiology Case Reports.2023; 18(11): 4226. CrossRef - Acute pancreatitis: A review of diagnosis, severity prediction and prognosis assessment from imaging technology, scoring system and artificial intelligence
Jian-Xiong Hu, Cheng-Fei Zhao, Shu-Ling Wang, Xiao-Yan Tu, Wei-Bin Huang, Jun-Nian Chen, Ying Xie, Cun-Rong Chen
World Journal of Gastroenterology.2023; 29(37): 5268. CrossRef - Mediastinal pancreatobiliary pseudocysts
G.I. Dryazhenkov, I.G. Dryazhenkov, S.I. Balnykov, E.V. Kalashyan, A.A. Stepankov
Khirurgiya. Zhurnal im. N.I. Pirogova.2022; (3): 56. CrossRef - The Role of Endoscopic Ultrasound in the Interventional Management of Mediastinal Collections: A Narrative Review
Julio G Velasquez-Rodriguez, Sandra Maisterra, Ricard Ramos, Ignacio Escobar, Joan B Gornals
Cureus.2022;[Epub] CrossRef - Mediastinal Extension of Pancreatic Pseudocyst
Shruti Tewari, A. Sushma, Rajeev Redkar
Journal of Indian Association of Pediatric Surgeons.2021; 26(1): 44. CrossRef - Predictors for external and internal pancreatic fistulas after pancreatic necrosis
L. P. Kotelnikova, S. A. Plaksin, I. G. Burnyshev, D. V. Trushnikov
Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery.2021; 26(2): 39. CrossRef - Pancreatic Pseudocyst with Mediastinal Extension Presenting as Pseudo-Kirklin Sign—Multimodality Imaging
Harshini Udayakumar, Venkatraman Indiran, Kalaichezhian Mariappan, Prabakaran Maduraimuthu
Journal of Gastrointestinal and Abdominal Radiology.2020; 3(S 01): S54. CrossRef - Mediastinal pancreatic cysts: review and own clinical observations
L. P. Kotelnikova, S. A. Plaksin, L. I. Farshatova
Khirurgiya. Zhurnal im. N.I. Pirogova.2019; (7): 80. CrossRef - Isolated Mediastinal Pseudocyst of the Pancreas
Pankaj Halder, Kartik Chandra Mandal, Bidyut Debnath, Sumedha Mukherjee
Indian Pediatrics.2018; 55(3): 251. CrossRef - Pancreaticopleural Fistula: A Review of Imaging Diagnosis and Early Endoscopic Intervention
Ali Kord Valeshabad, Jennifer Acostamadiedo, Lekui Xiao, Winnie Mar, Karen L. Xie
Case Reports in Gastrointestinal Medicine.2018; 2018: 1. CrossRef
- An anterior mediastinal cystic lesion pathologically confirmed as a mediastinal pancreatic pseudocyst after thoracoscopic resection: a rare case report and literature review
- 10,411 View
- 208 Download
- 10 Web of Science
- 15 Crossref
Review
- Endoscopic Ultrasound-Guided Management of Pancreatic Pseudocysts and Walled-Off Necrosis
- Ji Young Bang, Shyam Varadarajulu
- Clin Endosc 2014;47(5):429-431. Published online September 30, 2014
- DOI: https://doi.org/10.5946/ce.2014.47.5.429
-
Abstract
PDFPubReaderePub
The outcome of endoscopic management of pancreatic fluid collections is dependent on the type of collection being treated. While pseudocysts have an excellent treatment response, the outcomes are modest for walled-off pancreatic necrosis. Recent advances in cross-sectional body imaging have enabled a more accurate distinction of pancreatic fluid collections, which, in turn, facilitates the correct triage of patients to receive the appropriate treatment. Newly described endoscopic techniques and the development of dedicated accessories have improved the clinical outcomes in walled-off pancreatic necrosis, with treatment success rates comparable to that of minimally invasive surgery. This review summarizes the key concepts and provides a concise update on the endoscopic management of pancreatic fluid collections.
-
Citations
Citations to this article as recorded by- Efficacy of Metal Stents Versus Plastic Stents for Treatment of Walled‐Off Pancreatic Necrosis: A Systematic Review and Meta‐Analysis
Yousaf Zafar, Muhammad Umer Sohail, Zainab Siddiqua Ibrahim, Ruqiat Masooma Batool, Ifrah Ansari, Syed Zaeem Ahmed, Muhammad Saad, Eliza Aisha, Saad Ahmed Waqas, Muhammad Ovais Sohail, Faisal Bukeirat, Shou Jiang Tang, Raheel Ahmed
JGH Open.2025;[Epub] CrossRef - Ultrasound-guided endoscopic drainage for the management of pancreatic pseudocysts: A case report
Ying-Ling Liu, Jie Liu, Wen-Jun Jiang, Kai-Guang Zhang, Ye-Tao Wang
World Journal of Gastrointestinal Surgery.2025;[Epub] CrossRef - Technical and Clinical Outcomes of Using a Single Wide-Caliber Double-Pigtail Stent for Endoscopic Ultrasound-Guided Pancreatic Pseudocyst Drainage: A Multicenter Prospective Study
Elsayed Ghoneem, Hussein Okasha, Mohamed Hammouda, Mohamed Fathi Gouda, Reham Soliman, Gamal Shiha, Khaled Ragab, Ramy Hassan Agwa
GE - Portuguese Journal of Gastroenterology.2023; 30(6): 414. CrossRef - Endoscopic cystogastrostomy: Still a viable option in children with symptomatic pancreatic fluid collection
Ujjal Poddar, Surender Kumar Yachha, Vijai Datta Upadhyaya, Basant Kumar, Vibhor Borkar, Rohan Malik, Anshu Srivastava
Pancreatology.2021; 21(4): 812. CrossRef - Multiple hidden vessels in walled-off necrosis with high-risk bleeding: Report of two cases
Ning Xu, Ya-Qi Zhai, Long-Song Li, Ning-Li Chai
World Journal of Clinical Cases.2021; 9(27): 8214. CrossRef - Endoscopic ultrasound-guided drainage of pancreatic fluid collections: The impact of evolving experience and new technologies in diagnosis and treatment over the last two decades
Pietro Gambitta, Anna Maffioli, Jean Spiropoulos, Antonio Armellino, Maurizio Vertemati, Paolo Aseni
Hepatobiliary & Pancreatic Diseases International.2020; 19(1): 68. CrossRef - Adverse events of lumen-apposing stents for pancreatic fluid collections: opening Pandora’s box
Gianenrico Rizzatti, Mihai Rimbaș, Alberto Larghi
Gastrointestinal Endoscopy.2020; 91(5): 1217. CrossRef - Endoscopic Therapy for Pancreatic Fluid Collections: A Definitive Management Using a Dedicated Algorithm
Ming Ming Xu, Iman Andalib, Aleksey Novikov, Enad Dawod, Moamen Gabr, Monica Gaidhane, Amy Tyberg, Michel Kahaleh
Clinical Endoscopy.2020; 53(3): 355. CrossRef - Endoscopic Transgastric Versus Surgical Approach for Infected Necrotizing Pancreatitis: A Systematic Review and Meta-Analysis
De Luo, Xiangdong Liu, Juan Du, Jiang Liu, Xinpei Chen, Pengcheng Zhou, Bo Li, Song Su
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2019; 29(3): 141. CrossRef - Treatment response and preliminary efficacy of hepatic tumour laser ablation under the guidance of percutaneous and endoscopic ultrasonography
Weilu Chai, Qiyu Zhao, Huiming Song, Chao Cheng, Guo Tian, Tian’an Jiang
World Journal of Surgical Oncology.2019;[Epub] CrossRef - Acute Pancreatitis and Fluid-Filled Collections
Audrey Lancaster, Melissa Zwijacz
Gastroenterology Nursing.2019; 42(5): 417. CrossRef - Modern Management of Pancreatic Fluid Collections
Iman Andalib, Enad Dawod, Michel Kahaleh
Journal of Clinical Gastroenterology.2018; 52(2): 97. CrossRef - Algorithm for the multidisciplinary management of hemorrhage in EUS-guided drainage for pancreatic fluid collections
Tian-An Jiang, Li-Ting Xie
World Journal of Clinical Cases.2018; 6(10): 308. CrossRef - What's unique about acute pancreatitis in children: risk factors, diagnosis and management
Sohail Z. Husain, Arvind I. Srinath
Nature Reviews Gastroenterology & Hepatology.2017; 14(6): 366. CrossRef - The role of endoscopic intervention in the management of inflammatory pancreatic fluid collections
Vikrant Parihar, Paul F. Ridgway, Kevin C. Conlon, Matthew Huggett, Barbara M. Ryan
European Journal of Gastroenterology & Hepatology.2017; 29(4): 371. CrossRef - Large Pleural Effusion and Mediastinal Mass: An Unusual Connection!
Anand Kumar, Sammy Ho
Gastroenterology.2016; 150(2): 318. CrossRef - Efficacy and safety of endoscopic ultrasonography-guided interventional treatment for refractory malignant left-sided liver tumors: a case series of 26 patients
Tian-an Jiang, Zhuang Deng, Guo Tian, Qi-yu Zhao, Wei-lin Wang
Scientific Reports.2016;[Epub] CrossRef - Management of pancreatic fluid collections: A comprehensive review of the literature
Amy Tyberg, Kunal Karia, Moamen Gabr, Amit Desai, Rushabh Doshi, Monica Gaidhane, Reem Z Sharaiha, Michel Kahaleh
World Journal of Gastroenterology.2016; 22(7): 2256. CrossRef - El papel terapéutico del ultrasonido endoscópico en las colecciones líquidas peripancreáticas
Luis Eduardo Casasola-Sánchez, Félix Ignacio Téllez-Ávila
Endoscopia.2015; 27(2): 87. CrossRef - Minimally invasive treatment of pancreatic pseudocysts
Enver Zerem, Goran Hauser, Svjetlana Loga-Zec, Suad Kunosić, Predrag Jovanović, Dino Crnkić
World Journal of Gastroenterology.2015; 21(22): 6850. CrossRef - International Digestive Endoscopy Network 2014: Turnpike to the Future
Eun Young Kim, Kwang An Kwon, Il Ju Choi, Ji Kon Ryu, Ki Baik Hahm
Clinical Endoscopy.2014; 47(5): 371. CrossRef
- Efficacy of Metal Stents Versus Plastic Stents for Treatment of Walled‐Off Pancreatic Necrosis: A Systematic Review and Meta‐Analysis
- 8,149 View
- 118 Download
- 29 Web of Science
- 21 Crossref
Focused Review Series: Endoscopic Intervention in Pancreatitis
- Endoscopic Drainage of Pseudocysts
- Tae Jun Song, Sang Soo Lee
- Clin Endosc 2014;47(3):222-226. Published online May 31, 2014
- DOI: https://doi.org/10.5946/ce.2014.47.3.222
-
Abstract
PDFPubReaderePub
During the last decade, great progress has been made in minimally invasive endoscopic techniques. For pancreatic pseudocysts (PPCs), endoscopic drainage has become the first-line therapeutic option. Recent advances in therapeutic endoscopic ultrasound (EUS)-related techniques have focused on EUS-guided transmural drainage, which is now replacing the conventional endoscopy-guided transmural drainage. While transmural drainage is usually performed using multiple plastic stents with or without a nasocystic drain, fully covered self-expandable metal stents are now being used with increasing frequency. In this review, we discuss some of the controversies related to the endoscopic drainage of PPCs.
-
Citations
Citations to this article as recorded by- Breaking Anatomical Barriers: Drainage of a Pancreatic Pseudocyst in Situs Inversus—A Rare Coincidence
Kuldeep Singh
Euroasian journal of hepato-gastroenterology.2026; 15(2): 198. CrossRef - Management of pancreatic fluid collections: A concise review
Saroj Kanta Sahu, Bipadabhanjan Mallick, Preetam Nath, Dibyalochan Praharaj, Suprabhat Giri, Sarat Chandra Panigrahi, Anil Chandra Anand
Journal of Integrative Medicine and Research.2025; 3(1): 4. CrossRef - A case of delayed bleeding caused by a stent after endoscopic ultrasound-guided drainage of pancreatic fluid collection
Jonghyun Lee
Journal of Innovative Medical Technology.2024; 2(2): 75. CrossRef - Does a coaxial double pigtail stent reduce adverse events after lumen apposing metal stent placement for pancreatic fluid collections? A systematic review and meta-analysis
Suprabhat Giri, Sidharth Harindranath, Shivaraj Afzalpurkar, Sumaswi Angadi, Sridhar Sundaram
Therapeutic Advances in Gastrointestinal Endoscopy.2023;[Epub] 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 - Pankreatik psödokistlerde tanısal yöntemlerin performansı
Yavuz ÖZDEN, Göksel BENGİ, Funda BARLIK OBUZ, Canan ALTAY, Özgül SAĞOL, Anıl AYSAL AĞALAR, Tarkan ÜNEK, Müjde SOYTÜRK
Akademik Gastroenteroloji Dergisi.2022; 21(3): 136. CrossRef - EUS-guided drainage of pancreatic fluid collection, using a modified technique of cystotome alone without a FNA needle
Praveer Rai, KC Harish, Abdul Majeed, Amit Goel
Saudi Journal of Gastroenterology.2021; 27(5): 283. 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 - 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 - 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 - Endoscopic ultrasonography-guided drainage using a self-approximating lumen-apposing metallic stents
Tae Jun Song, DongWook Oh, Sang Soo Lee
Techniques and Innovations in Gastrointestinal Endoscopy.2020; 22(1): 33. CrossRef - International consensus guidelines on interventional endoscopy in chronic pancreatitis. Recommendations from the working group for the international consensus guidelines for chronic pancreatitis in collaboration with the International Association of Pancr
Masayuki Kitano, Thomas M. Gress, Pramod K. Garg, Takao Itoi, Atsushi Irisawa, Hiroyuki Isayama, Atsushi Kanno, Kei Takase, Michael Levy, Ichiro Yasuda, Phillipe Lévy, Shuiji Isaji, Carlos Fernandez-Del Castillo, Asbjørn M. Drewes, Andrea R.G. Sheel, John
Pancreatology.2020; 20(6): 1045. CrossRef - Recent development of endoscopic ultrasonography-guided drainage of pancreatic fluid collections
Dong Kee Jang, Jun Kyu Lee
International Journal of Gastrointestinal Intervention.2020; 9(4): 160. CrossRef - Efficacy of a novel lumen-apposing metal stent for the treatment of symptomatic pancreatic pseudocysts (with video)
Tae Jun Song, Sang Soo Lee, Jong Ho Moon, Hyun Jong Choi, Chang Min Cho, Kwang Hyuck Lee, Se Woo Park, Seong-Hun Kim, Seung Ok Lee, Yun Nah Lee, Jong Kyun Lee
Gastrointestinal Endoscopy.2019; 90(3): 507. CrossRef - Management of (Peri)Pancreatic Collections in Acute Pancreatitis
Mihailo Bezmarević, Sven M. van Dijk, Rogier P. Voermans, Hjalmar C. van Santvoort, Marc G. Besselink
Visceral Medicine.2019; 35(2): 91. CrossRef - Management of Inflammatory Fluid Collections and Walled-Off Pancreatic Necrosis
Apeksha Shah, Richard Denicola, Cynthia Edirisuriya, Ali A. Siddiqui
Current Treatment Options in Gastroenterology.2017; 15(4): 576. CrossRef - El papel terapéutico del ultrasonido endoscópico en las colecciones líquidas peripancreáticas
Luis Eduardo Casasola-Sánchez, Félix Ignacio Téllez-Ávila
Endoscopia.2015; 27(2): 87. CrossRef - Successful surgical internal drainage of postoperative pancreatic pseudocyst through pancreaticojejunostomy with distal pancreatectomy: a case report
Kazuya Sakata, Daisuke Hashimoto, Katsunobu Taki, Osamu Nakahara, Masaki Ohmuraya, Akira Chikamoto, Toru Beppu, Hideo Baba
Surgical Case Reports.2015;[Epub] CrossRef - Endoscopic and operative treatment of delayed complications after pancreatic trauma: An analysis of 27 civilians treated in an academic Level 1 Trauma Centre
J.E.J. Krige, U.K. Kotze, P.H. Navsaria, A.J. Nicol
Pancreatology.2015; 15(5): 563. CrossRef - Learning models for endoscopic ultrasonography in gastrointestinal endoscopy
Gwang Ha Kim
World Journal of Gastroenterology.2015; 21(17): 5176. CrossRef - Therapeutic role of endoscopic ultrasound in pancreaticobiliary disease: A comprehensive review
Fan-Sheng Meng
World Journal of Gastroenterology.2015; 21(46): 12996. CrossRef - Outcome of stenting in biliary and pancreatic benign and malignant diseases: A comprehensive review
Benedetto Mangiavillano
World Journal of Gastroenterology.2015; 21(30): 9038. CrossRef
- Breaking Anatomical Barriers: Drainage of a Pancreatic Pseudocyst in Situs Inversus—A Rare Coincidence
- 11,245 View
- 111 Download
- 21 Web of Science
- 23 Crossref
Special Issue Articles 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
-
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.
-
Citations
Citations to this article as recorded by- Current Utility of Transgastric Percutaneous Drainage for the Management of Pancreatitis-Related Retrogastric Walled-Off Necrotic Collections: A Prospective Observational Study
Sarthak Agrawal, Asmita Arya, Avinash D Gautam, Rajanikant R Yadav, Ashish Singh, Deb Boruah, Samir Mohindra, Archana Gupta, Anshu Srivastava, Mohan Gurjar, Rajneesh K Singh, Rahul Rahul
Cureus.2024;[Epub] CrossRef - Consensus guidelines on the diagnosis and treatment of pancreatic pseudocyst and walled-off necrosis from a Chinese multiple disciplinary team expert panel
Huiyun Zhu, Yiqi Du, Kaixuan Wang, Zhaoshen Li, Zhendong Jin
Endoscopic Ultrasound.2024; 13(4): 205. CrossRef - Pancreatic Walled-Off Necrosis: Cross-Sectional Imaging Depiction of Debris Predicts the Success of Endoscopic Drainage Using Lumen-Apposing Metal Stents
Zhenteng Li, Ali Siddiqui, Gurshawn Singh, Ellen Redstone, Jonathan Weinstein, Donald G. Mitchell
Digestive Diseases.2024; 42(4): 380. CrossRef - Outcomes and Post-removal Course of Lumen-Apposing Metal Stent Placement for Peripancreatic Fluid Collections: A Comparative Study of Pancreatic Pseudocysts and Walled-Off Necrosis
Koji Takahashi, Hiroshi Ohyama, Izumi Ohno, Naoya Kato
Cureus.2024;[Epub] CrossRef - Electrocautery-enhanced Lumen-apposing Metal Stents in the Management of Symptomatic Pancreatic Fluid Collections
Jose Nieto, Parit Mekaroonkamol, Raj Shah, Mouen A. Khashab, David E. Loren, Irving Waxman, Steven A. Edmundowicz, Field F. Willingham
Journal of Clinical Gastroenterology.2023; 57(2): 218. CrossRef - EUS-guided transluminal drainage using lumen-apposing metal stents with or without coaxial plastic stents for treatment of walled-off necrotizing pancreatitis: a prospective bicentric randomized controlled trial
Petr Vanek, Premysl Falt, Petr Vitek, Vincent Zoundjiekpon, Monika Horinkova, Jana Zapletalova, Martin Lovecek, Ondrej Urban
Gastrointestinal Endoscopy.2023; 97(6): 1070. CrossRef - Endoscopic transgastric fenestration versus percutaneous drainage for management of (peri)pancreatic fluid collections adjacent to gastric wall (with video)
Hong-Mei Zhang, Hui-Ting Ke, Md Robin Ahmed, Ya-Juan Li, Ghulam Nabi, Mu-Han Li, Ji-Yu Zhang, Dan Liu, Li-Xia Zhao, Bing-Rong Liu
World Journal of Gastroenterology.2023; 29(40): 5557. CrossRef - Systematic review and meta-analysis of endoscopic ultrasound drainage for the management of fluid collections after pancreas surgery
Ali Ramouz, Saeed Shafiei, Sadeq Ali-Hasan-Al-Saegh, Elias Khajeh, Ricardo Rio-Tinto, Sanam Fakour, Andreas Brandl, Gil Goncalves, Christoph Berchtold, Markus W. Büchler, Arianeb Mehrabi
Surgical Endoscopy.2022; 36(6): 3708. 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 - Endosonography-guided transmural drainage of pancreatic fluid collections: comparative outcomes by stent type
Ahmed Kayal, Niloofar Taghizadeh, Takuya Ishikawa, Emmanuel Gonzalez-Moreno, Sydney Bass, Martin J. Cole, Steven J. Heitman, Rachid Mohamed, Christian Turbide, Yen-I Chen, Nauzer Forbes
Surgical Endoscopy.2021; 35(6): 2698. CrossRef - Endoscopy-guided percutaneous stapled pancreatic cystgastrostomy and necrosectomy
Harshit S. Khara, Jon D. Gabrielsen, David L. Diehl, Ryan D. Horsley
Endoscopy.2021; 53(05): E199. CrossRef - A novel value-based scoring system for endoscopic ultrasound-guided drainage of pancreatic fluid collections: a single-centre comparative study of plastic and lumen-apposing metal stents (NOVA study)
Vikrant Parihar, Yasir Basir, Deirdre Nally, Gregory Mellotte, Thilagraj Manoharan, Caroline Walker, P.F. Ridgway, K.C. Conlon, Niall Breslin, Gavin C. Harewood, Barbara M. Ryan
European Journal of Gastroenterology & Hepatology.2021; 32(2): 157. CrossRef - Coaxial Double-Pigtail Stent Placement: A Simple Solution to Decrease Bleeding Risk Associated With Lumen-Apposing Metal Stent?
Shehroz Aslam, Zaid Ansari, Mustafa Alani, Indu Srinivasan, Keng-Yu Chuang
Cureus.2021;[Epub] CrossRef - EUS-guided drainage of pancreatic fluid collection, using a modified technique of cystotome alone without a FNA needle
Praveer Rai, KC Harish, Abdul Majeed, Amit Goel
Saudi Journal of Gastroenterology.2021; 27(5): 283. CrossRef - Drainage of pancreatic fluid collections using a lumen‐apposing metal stent with an electrocautery‐enhanced delivery system
Saad Khan, Sujievvan Chandran, Jerry Chin, Shwan Karim, Dileep Mangira, Mohamad Nasr, Goktug Ermerak, Andrew Trinh, Christopher Y H Kia, Thomas Mules, Mohammadali Zad, Tiing Leong Ang, Estella Johns, Derrick Tee, Abha Kaul, Thawee Ratanachu‐Ek, Jirat Jira
Journal of Gastroenterology and Hepatology.2021; 36(12): 3395. CrossRef - Transduodenal drainage of hard-to-reach pancreatic pseudocyst under endosonography control
S. V. Dzhantukhanova, Yu. G. Starkov, R. D. Zamolodchikov, A. A. Zvereva, V. S. Shirokov, I. S. Gruzdev
Experimental and Clinical Gastroenterology.2021; 1(5): 97. 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 - 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 - Multivariate analysis of the factors affecting the prognosis of walled-off pancreatic necrosis after endoscopic ultrasound-guided drainage
Jintao Guo, Bowen Duan, Siyu Sun, Sheng Wang, Xiang Liu, Nan Ge, Wen Liu, Shupeng Wang, Jinlong Hu
Surgical Endoscopy.2020; 34(3): 1177. CrossRef - Advancements in the endoscopic treatment of pancreatic fluid collections
Jing Li, Yang Yu, Peng Li, Shu‐Tian Zhang
Chronic Diseases and Translational Medicine.2020; 6(3): 158. CrossRef - Are Lumen-Apposing Metal Stents More Effective Than Plastic Stents for the Management of Pancreatic Fluid Collections: An Updated Systematic Review and Meta-analysis
Shali Tan, Chunyu Zhong, Yutang Ren, Xujuan Luo, Jin Xu, Yan Peng, Xiangsheng Fu, Xiaowei Tang
Gastroenterology Research and Practice.2020; 2020: 1. CrossRef - The role of solid debris in endoscopic ultrasound‐guided drainage of walled‐off necrosis: A large cohort study
Huiyun Zhu, Pei Xie, Yuxin Wang, Zhendong Jin, Zhaoshen Li, Yiqi Du
Journal of Gastroenterology and Hepatology.2020; 35(12): 2103. CrossRef - Outcomes of a single-step endoscopic ultrasound-guided drainage of pancreatic-fluid collections using an electrocautery-enhanced coaxial lumen-apposing, self-expanding metal stent with and without fluoroscopy
Babatunde Olaiya, Parit Mekaroonkamol, Bai-Wen Li, Julia Massaad, Cicily T Vachaparambil, Jennifer Xu, Vladamir Lamm, Hui Luo, Shan-Shan Shen, Hui-Min Chen, Steve Keilin, Field F Willingham, Qiang Cai
Gastroenterology Report.2020; 8(6): 425. CrossRef - Recent development of endoscopic ultrasonography-guided drainage of pancreatic fluid collections
Dong Kee Jang, Jun Kyu Lee
International Journal of Gastrointestinal Intervention.2020; 9(4): 160. CrossRef - The results of endosonography-assisted internal drainage of pancreatic pseudocyst
Yu. G. Starkov, R. D. Zamolodchikov, S. V. Dzhantukhanova, M. I. Vyborniy, K. V. Lukich, A. S. Ibragimov, I. M. Goncharov, V. Yu. Lavrentyeva
Annaly khirurgicheskoy gepatologii = Annals of HPB surgery.2019; 24(1): 43. CrossRef - A novel self-expanding biflanged metal stent vs tubular metal stent for EUS-guided transmural drainage of pancreatic pseudocyst
Yao Yao, Dingguo Zhang, Jiefang Guo, Ke Qi, Feng Li, Jianwei Zhu, Dong Wang, Jie Chen, Can Xu, Luowei Wang, Kaixuan Wang, Zhendong Jin, Zhaoshen Li
Medicine.2019; 98(3): e14179. CrossRef - Spontaneous Closure of a Large Transmural Gastric Defect After Removal of a Migrated AXIOS Stent
Ali Alshati, Indu Srinivasan, Keng-Yu Chuang
ACG Case Reports Journal.2019; 6(3): e00033. CrossRef - Stent migration following treatment of pancreatic pseudocyst by cyst gastrostomy
Steven Smith, Patrick Ramirez, Alisha Hinds, Raymond Duggan, Jonathan Ramirez
Baylor University Medical Center Proceedings.2019; 32(3): 411. CrossRef - Advanced Endoscopic Procedures: An Update for Radiologists
Preethi Guniganti, Andrea S. Kierans
American Journal of Roentgenology.2019; 213(2): 332. CrossRef - EUS-guided drainage of peripancreatic fluid collections with lumen-apposing metal stents and plastic double-pigtail stents: comparison of efficacy and adverse event rates
Gabriel D. Lang, Cassandra Fritz, Trisha Bhat, Koushik K. Das, Faris M. Murad, Dayna S. Early, Steven A. Edmundowicz, Vladimir M. Kushnir, Daniel K. Mullady
Gastrointestinal Endoscopy.2018; 87(1): 150. CrossRef - Efficacy and Safety of Lumen-Apposing Metal Stents in Management of Pancreatic Fluid Collections: Are They Better Than Plastic Stents? A Systematic Review and Meta-Analysis
Tariq Hammad, Muhammad Ali Khan, Yaseen Alastal, Wade Lee, Ali Nawras, Mohammad Kashif Ismail, Michel Kahaleh
Digestive Diseases and Sciences.2018; 63(2): 289. CrossRef - Surgical Management of Pancreatic Pseudocysts
Lea Matsuoka, Sophoclis P. Alexopoulos
Gastrointestinal Endoscopy Clinics of North America.2018; 28(2): 131. CrossRef - EUS-Guided Transluminal Interventions
Uzma D. Siddiqui, Michael J. Levy
Gastroenterology.2018; 154(7): 1911. 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 - Novel lumen‐apposing metal stent for the drainage of pancreatic fluid collections: An Italian multicentre experience
Maria Chiara Petrone, Livia Archibugi, Edoardo Forti, Rita Conigliaro, Roberto Di Mitri, Ilaria Tarantino, Carlo Fabbri, Alberto Larghi, Sabrina Gloria Giulia Testoni, Massimiliano Mutignani, Paolo Giorgio Arcidiacono
United European Gastroenterology Journal.2018; 6(9): 1363. CrossRef - Treatment of Pancreatic Fluid Collections
Seung Bae Yoon, Jae Hyuck Chang, In Seok Lee
The Korean Journal of Gastroenterology.2018; 72(3): 97. CrossRef - Algorithm for the multidisciplinary management of hemorrhage in EUS-guided drainage for pancreatic fluid collections
Tian-An Jiang, Li-Ting Xie
World Journal of Clinical Cases.2018; 6(10): 308. 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 - Fully covered self-expanding metal stents versus lumen-apposing fully covered self-expanding metal stent versus plastic stents for endoscopic drainage of pancreatic walled-off necrosis: clinical outcomes and success
Ali A. Siddiqui, Thomas E. Kowalski, David E. Loren, Ammara Khalid, Ayesha Soomro, Syed M. Mazhar, Laura Isby, Michel Kahaleh, Kunal Karia, Joseph Yoo, Andrew Ofosu, Beverly Ng, Reem Z. Sharaiha
Gastrointestinal Endoscopy.2017; 85(4): 758. CrossRef - Prospective evaluation of a new biflanged metal stent for the treatment of pancreatic fluid collections (with videos)
Shuntaro Mukai, Takayoshi Tsuchiya, Takao Itoi, Shujiro Tsuji, Reina Tanaka, Ryosuke Tonozuka, Yuichi Nagakawa, Kazuhiko Kasuya, Masaaki Shimatani, Atsushi Sofuni
Gastrointestinal Endoscopy.2017; 86(1): 203. CrossRef - Endoscopic ultrasound-guided pancreatic pseudocyst drainage with lumen-apposing metal stents or plastic double-pigtail stents: A multifactorial analysis
Nan Ge, Jinlong Hu, Siyu Sun, Enqiang Linghu, Zhendong Jin, Zhaoshen Li
Journal of Translational Internal Medicine.2017; 5(4): 213. CrossRef - Rare Esophageal Migration of AXIOS Stent Used for Walled-off Pancreatic Necrosis Drainage
Yousef Abdel-Aziz, Anas Renno, Tariq Hammad, Ali Nawras
ACG Case Reports Journal.2017; 4(1): e73. CrossRef - Endoscopic ultrasound-guided drainage of pancreatic pseudocyst after gastrogastric anastomosis in patient with Roux-en-Y gastric bypass: The dream becomes reality!
Mariano Sica, Massimiliano Mutignani, Tringali Alberto, Raffaele Manta
Endoscopic Ultrasound.2017; 6(3): 215. CrossRef - EUS-guided drainage of peripancreatic fluid collections and necrosis by using a novel lumen-apposing stent: a large retrospective, multicenter U.S. experience (with videos)
Ali A. Siddiqui, Douglas G. Adler, Jose Nieto, Janak N. Shah, Kenneth F. Binmoeller, Steve Kane, Linda Yan, Sobia N. Laique, Thomas Kowalski, David E. Loren, Linda Jo Taylor, Satish Munigala, Yasser M. Bhat
Gastrointestinal Endoscopy.2016; 83(4): 699. CrossRef - Risk factors for infection after endoscopic ultrasonography-guided drainage of specific types of pancreatic and peripancreatic fluid collections (with video)
Jintao Guo, Linlin Feng, Siyu Sun, Nan Ge, Xiang Liu, Sheng Wang, Guoxin Wang, Beibei Sun
Surgical Endoscopy.2016; 30(7): 3114. CrossRef - Endoscopic ultrasound and endoscopic retrograde cholangiopancreatography: Can they be successfully combined?
Joan B. Gornals, José Miguel Esteban, Carlos Guarner-Argente, Carlos Marra-Lopez, Alejandro Repiso, Oriol Sendino, Carme Loras
Gastroenterología y Hepatología.2016; 39(9): 627. CrossRef - Endoscopic Ultrasound-Guided Drainage without Fluoroscopic Guidance for Extraluminal Complicated Cysts
Hyeong Seok Nam, Hyung Wook Kim, Dae Hwan Kang, Cheol Woong Choi, Su Bum Park, Su Jin Kim, Dae Gon Ryu, Joon Ho Jeon
Gastroenterology Research and Practice.2016; 2016: 1. CrossRef - Evaluation of the AXIOS stent for the treatment of pancreatic fluid collections
Eduardo Rodrigues-Pinto, Todd H. Baron
Expert Review of Medical Devices.2016; 13(9): 793. CrossRef - Endoscopic ultrasound and endoscopic retrograde cholangiopancreatography: Can they be successfully combined?
Joan B. Gornals, José Miguel Esteban, Carlos Guarner-Argente, Carlos Marra-Lopez, Alejandro Repiso, Oriol Sendino, Carme Loras
Gastroenterología y Hepatología (English Edition).2016; 39(9): 627. CrossRef - Metal versus plastic for pancreatic pseudocyst drainage: clinical outcomes and success
Reem Z. Sharaiha, Ersilia M. DeFilippis, Prashant Kedia, Monica Gaidhane, Christine Boumitri, Huei-Wen Lim, Eugene Han, Harkarit Singh, Saad S. Ghumman, Thomas Kowalski, David Loren, Michel Kahaleh, Ali Siddiqui
Gastrointestinal Endoscopy.2015; 82(5): 822. CrossRef - Safety and Efficacy of Endoscopic Ultrasound-Guided Drainage of Pancreatic Fluid Collections With Lumen-Apposing Covered Self-Expanding Metal Stents
Raj J. Shah, Janak N. Shah, Irving Waxman, Thomas E. Kowalski, Andres Sanchez-Yague, Jose Nieto, Brian C. Brauer, Monica Gaidhane, Michel Kahaleh
Clinical Gastroenterology and Hepatology.2015; 13(4): 747. CrossRef - Negative predictive value of drain amylase concentration for development of pancreatic fistula after pancreaticoduodenectomy
Piotr Zelga, Jason M. Ali, Rebecca Brais, Simon J.F. Harper, Siong-Seng Liau, Emmanuel L. Huguet, Neville V. Jamieson, Raaj K. Praseedom, Asif Jah
Pancreatology.2015; 15(2): 179. CrossRef - EUS-guided drainage of pancreatic fluid collections using a novel lumen-apposing metal stent on an electrocautery-enhanced delivery system: a large retrospective study (with video)
Emanuele Rinninella, Rastislav Kunda, Markus Dollhopf, Andres Sanchez-Yague, Uwe Will, Ilaria Tarantino, Joan Gornals Soler, Sebastian Ullrich, Alexander Meining, Josè Miguel Esteban, Thomas Enz, Geoffroy Vanbiervliet, Frank Vleggaar, Fabia Attili, Albert
Gastrointestinal Endoscopy.2015; 82(6): 1039. CrossRef - Management of pancreatic collections with a novel endoscopically placed fully covered self-expandable metal stent: a national experience (with videos)
Sujievvan Chandran, Marios Efthymiou, Arthur Kaffes, John Wei Chen, Vu Kwan, Michael Murray, David Williams, Nam Quoc Nguyen, William Tam, Christine Welch, Andre Chong, Saurabh Gupta, Ben Devereaux, Peter Tagkalidis, Frank Parker, Rhys Vaughan
Gastrointestinal Endoscopy.2015; 81(1): 127. CrossRef - Internal drainage of pancreatic pseudocysts
R. D. Zamolodchikov, E. N. Solodinina, Yu. G. Starkov
Khirurgiya. Zhurnal im. N.I. Pirogova.2015; (4): 68. CrossRef - Therapeutic role of endoscopic ultrasound in pancreaticobiliary disease: A comprehensive review
Fan-Sheng Meng
World Journal of Gastroenterology.2015; 21(46): 12996. CrossRef - Endoscopic approach to the diagnosis and treatment of pancreatic disease
Erik-Jan Wamsteker
Current Opinion in Gastroenterology.2014; 30(5): 524. CrossRef - Endoscopic Ultrasound-Guided Transluminal Drainage for Peripancreatic Fluid Collections: Where Are We Now?
Hiroshi Kawakami, Takao Itoi, Naoya Sakamoto
Gut and Liver.2014; 8(4): 341. CrossRef - Endoscopic Drainage of Pseudocysts
Tae Jun Song, Sang Soo Lee
Clinical Endoscopy.2014; 47(3): 222. CrossRef - A case report on the usefulness of early endoscopic ultrasound (EUS)-guided transgastric internal stenting for severe blunt pancreatic trauma
Satoshi Iino, Masahiko Sakoda, Koji Minami, Kiyotsugu Hiwatashi, Hiroshi Kurahara, Yuko Mataki, Kosei Maemura, Hiroyuki Shinchi, Shinichi Ueno, Dai Imanaka, Shinichi Hashimoto, Masatsugu Numata, Akio Ido, Kentarou Nakamura, Keiji Yamaguchi, Tomotsugu Yasu
Injury Extra.2014; 45(9): 65. CrossRef - Management of pancreatic ductal leaks and fistulae
Michael Larsen, Richard Kozarek
Journal of Gastroenterology and Hepatology.2014; 29(7): 1360. CrossRef - Evidence-Based Management of Necrotizing Pancreatitis
Diana A. Whitehead, Timothy B. Gardner
Current Treatment Options in Gastroenterology.2014; 12(3): 322. CrossRef
- Current Utility of Transgastric Percutaneous Drainage for the Management of Pancreatitis-Related Retrogastric Walled-Off Necrotic Collections: A Prospective Observational Study
- 15,581 View
- 117 Download
- 62 Crossref
- Metal versus Plastic Stent for Transmural Drainage of Pancreatic Fluid Collections
- Ji Young Bang, Shyam Varadarajulu
- Clin Endosc 2013;46(5):500-502. Published online September 30, 2013
- DOI: https://doi.org/10.5946/ce.2013.46.5.500
-
Abstract
PDFPubReaderePub
The conventional management of pancreatic fluid collections (PFCs) involves surgery or percutaneous drainage. While surgery is associated with significant complications and mortality, percutaneous drainage is associated with prolonged hospitalization and oftentimes the need for other adjunctive treatment measures. Therefore, the use of endoscopy to drain PFCs is becoming increasingly popular. Randomized trials have demonstrated that endoscopic ultrasound-guided drainage is superior to conventional endoscopy in terms of technical success and potentially decreases the rates of procedural complications. While transmural drainage is usually undertaken by deployment of plastic endoprosthesis, of late, fully covered self-expandable metal stents are being placed with increasing frequency. However, the benefits of this approach are unclear and require further validation in prospective trials.
-
Citations
Citations to this article as recorded by- Consensus guidelines on the diagnosis and treatment of pancreatic pseudocyst and walled-off necrosis from a Chinese multiple disciplinary team expert panel
Huiyun Zhu, Yiqi Du, Kaixuan Wang, Zhaoshen Li, Zhendong Jin
Endoscopic Ultrasound.2024; 13(4): 205. CrossRef - Controversies in EUS-guided treatment of walled-off necrosis
Michael Hocke, Sean Burmeister, Barbara Braden, Christian Jenssen, Paolo Giorgio Arcidiacono, Julio Iglesias-Garcia, André Ignee, Alberto Larghi, Kathleen Möller, Mihai Rimbas, Sun Siyu, Giuseppe Vanella, Christoph F. Dietrich
Endoscopic Ultrasound.2022; 11(6): 442. 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 - Management of infected post-pancreatic resection fluid collections under endoscopic ultrasound guidance using lumen apposing metal stent: A case series and review of the literature
Puneet Chhabra, Ben Maher, Dharmadev Trivedi, Dimitrios Karavias, Ali Arshad, Mark Wright, Nadeem Tehami
Annals of Hepato-Biliary-Pancreatic Surgery.2021; 25(4): 500. CrossRef - A novel self-expanding biflanged metal stent vs tubular metal stent for EUS-guided transmural drainage of pancreatic pseudocyst
Yao Yao, Dingguo Zhang, Jiefang Guo, Ke Qi, Feng Li, Jianwei Zhu, Dong Wang, Jie Chen, Can Xu, Luowei Wang, Kaixuan Wang, Zhendong Jin, Zhaoshen Li
Medicine.2019; 98(3): e14179. CrossRef - EUS-guided drainage of peripancreatic fluid collections with lumen-apposing metal stents and plastic double-pigtail stents: comparison of efficacy and adverse event rates
Gabriel D. Lang, Cassandra Fritz, Trisha Bhat, Koushik K. Das, Faris M. Murad, Dayna S. Early, Steven A. Edmundowicz, Vladimir M. Kushnir, Daniel K. Mullady
Gastrointestinal Endoscopy.2018; 87(1): 150. CrossRef - Metal versus plastic stents for drainage of pancreatic fluid collection: A meta‐analysis
Seung Bae Yoon, In Seok Lee, Myung-Gyu Choi
United European Gastroenterology Journal.2018; 6(5): 729. CrossRef - Interventional EUS (with videos)
John T. Maple, Rahul Pannala, Barham K. Abu Dayyeh, Harry R. Aslanian, Brintha K. Enestvedt, Adam Goodman, Sri Komanduri, Michael Manfredi, Udayakumar Navaneethan, Mansour A. Parsi, Zachary L. Smith, Nirav Thosani, Shelby A. Sullivan, Subhas Banerjee
Gastrointestinal Endoscopy.2017; 85(3): 465. CrossRef - The role of endoscopic intervention in the management of inflammatory pancreatic fluid collections
Vikrant Parihar, Paul F. Ridgway, Kevin C. Conlon, Matthew Huggett, Barbara M. Ryan
European Journal of Gastroenterology & Hepatology.2017; 29(4): 371. CrossRef - Pancreatic Pseudocyst Dilemma: Cumulative Multicenter Experience in Management Using Endoscopy, Laparoscopy, and Open Surgery
Alaa A. Redwan, Mostafa A. Hamad, Mohammed A. Omar
Journal of Laparoendoscopic & Advanced Surgical Techniques.2017; 27(10): 1022. CrossRef - Efficacy and safety of metallic stents in comparison to plastic stents for endoscopic drainage of peripancreatic fluid collections: a meta-analysis and trial sequential analysis
Rajesh Panwar, Preet Mohinder Singh
Clinical Journal of Gastroenterology.2017; 10(5): 403. CrossRef - Endosonographic drainage of pancreatic fluid collections and walled-off necrosis
Ahmed Akhter, Mark E. Benson, Deepak V. Gopal
Techniques in Gastrointestinal Endoscopy.2017; 19(4): 190. CrossRef - Endoscópic Peri Pancreatic Fluid Collection Drainage Guided by USE in a Highly Complex Hospital in Lima, Peru. A First National Case Series
Augusto Vera Calderón
Gastroenterology & Hepatology: Open Access.2017;[Epub] CrossRef - Endoscopic necrosectomy of walled-off pancreatic necrosis using a lumen-apposing metal stent and irrigation technique
Joan B. Gornals, Claudia F. Consiglieri, Juli Busquets, Silvia Salord, Meritxell de-la-Hera, Lluis Secanella, Susana Redondo, Nuria Pelaez, Joan Fabregat
Surgical Endoscopy.2016; 30(6): 2592. CrossRef - The role of endoscopy in the diagnosis and treatment of inflammatory pancreatic fluid collections
V. Raman Muthusamy, Vinay Chandrasekhara, Ruben D. Acosta, David H. Bruining, Krishnavel V. Chathadi, Mohamad A. Eloubeidi, Ashley L. Faulx, Lisa Fonkalsrud, Suryakanth R. Gurudu, Mouen A. Khashab, Shivangi Kothari, Jenifer R. Lightdale, Shabana F. Pasha,
Gastrointestinal Endoscopy.2016; 83(3): 481. CrossRef - Evaluation of the short- and long-term effectiveness and safety of fully covered self-expandable metal stents for drainage of pancreatic fluid collections: results of a Spanish nationwide registry
Enrique Vazquez-Sequeiros, Todd H. Baron, Manuel Pérez-Miranda, Andres Sánchez-Yagüe, Joan Gornals, Ferran Gonzalez-Huix, Carlos de la Serna, Juan Angel Gonzalez Martin, Antonio Z. Gimeno-Garcia, Carlos Marra-Lopez, Ana Castellot, Fernando Alberca, Ignaci
Gastrointestinal Endoscopy.2016; 84(3): 450. CrossRef - Case report of EUS-guided endoscopic transduodenal necrosectomy in a patient with sleeve gastrectomy
Avik Sarkar, Ragui Sadek, Matthew Lissauer, Swati Pawa
BMC Obesity.2016;[Epub] CrossRef - Metal versus plastic for pancreatic pseudocyst drainage: clinical outcomes and success
Reem Z. Sharaiha, Ersilia M. DeFilippis, Prashant Kedia, Monica Gaidhane, Christine Boumitri, Huei-Wen Lim, Eugene Han, Harkarit Singh, Saad S. Ghumman, Thomas Kowalski, David Loren, Michel Kahaleh, Ali Siddiqui
Gastrointestinal Endoscopy.2015; 82(5): 822. CrossRef - Management of pancreatic collections with a novel endoscopically placed fully covered self-expandable metal stent: a national experience (with videos)
Sujievvan Chandran, Marios Efthymiou, Arthur Kaffes, John Wei Chen, Vu Kwan, Michael Murray, David Williams, Nam Quoc Nguyen, William Tam, Christine Welch, Andre Chong, Saurabh Gupta, Ben Devereaux, Peter Tagkalidis, Frank Parker, Rhys Vaughan
Gastrointestinal Endoscopy.2015; 81(1): 127. CrossRef - Endoscopic Drainage of Pseudocysts
Tae Jun Song, Sang Soo Lee
Clinical Endoscopy.2014; 47(3): 222. CrossRef - The role of therapeutic endoscopic ultrasound now and for the future
Vinay Dhir, Rajesh Kumar Paramasivam, Josef Carlo Lazaro, Amit Maydeo
Expert Review of Gastroenterology & Hepatology.2014; 8(7): 775. CrossRef
- Consensus guidelines on the diagnosis and treatment of pancreatic pseudocyst and walled-off necrosis from a Chinese multiple disciplinary team expert panel
- 8,471 View
- 74 Download
- 21 Crossref
Case Report
- Pancreatic Pseudocyst after Endoscopic Ultrasound-Guided Fine Needle Aspiration of Pancreatic Mass
- Kwang Hyun Chung, Ji Kon Ryu, Hong Sang Oh, Ji Yeon Seo, Eunhyo Jin, Dong Hyeon Lee, Yong-Tae Kim, Yong Bum Yoon
- Clin Endosc 2012;45(4):431-434. Published online November 30, 2012
- DOI: https://doi.org/10.5946/ce.2012.45.4.431
-
Abstract
PDFPubReaderePub
Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is well known as a safe diagnostic procedure. We report the first case of pancreatic pseudocyst after EUS-FNA of the pancreatic body mass. A 60-year-old male underwent EUS-FNA for incidentally detected pancreatic solid mass which was suspected as neuroendocrine tumor. Two weeks later, the patient visited emergency room with acute abdominal pain and right upper quadrant tenderness; leukocytosis and elevated C-reactive protein, amylase, and lipase levels were noted. Computed tomography discovered newly developed 11.5×9.5 cm sized cystic mass communicating with the main pancreatic duct. Cyst fluid analysis revealed amylase level of 3,423 U/L and fluid culture isolated Streptococcus parasanguinis. The cystic mass corresponds with pancreatic pseudocyst. FNA induced main pancreatic duct injury and fluid leakage may cause it. Endoscopists who perform EUS-FNA must remember that pancreatic main duct injury can occur as one of severe complications and that it could be treated successfully with endoscopic internal drainage.
-
Citations
Citations to this article as recorded by- Pancreatic Pseudocyst after Fully Covered Self-expandable Metallic Stent Placement
Mitsuhito Koizumi, Sho Ishikawa, Kaori Marui, Masahito Kokubu, Yusuke Okujima, Yuki Numata, Yoshiki Imamura, Teru Kumagi, Yoichi Hiasa
Internal Medicine.2024; 63(21): 2943. CrossRef - Needle tract seeding and abscess associated with pancreatic fistula after endoscopic ultrasound-guided fine-needle aspiration
Takeshi Okamoto, Kenji Nakamura, Ayaka Takasu, Toshimi Kaido, Katsuyuki Fukuda
Clinical Journal of Gastroenterology.2020; 13(6): 1322. CrossRef - Peripancreatic Fluid Collection Complicated by Endoscopic Ultrasound-Guided Fine-Needle Aspiration
Tsuyoshi Suda, Kazuya Kitamura, Shuichi Kaneko
ACG Case Reports Journal.2020; 7(7): e00432. CrossRef - Early pancreatic cancer — The role of endoscopic ultrasound with or without tissue acquisition in diagnosis and staging
Pedro Moutinho-Ribeiro, Julio Iglesias-Garcia, Rui Gaspar, Guilherme Macedo
Digestive and Liver Disease.2019; 51(1): 4. CrossRef - Endoscopic ultrasonography guided-fine needle aspiration for the diagnosis of solid pancreaticobiliary lesions: Clinical aspects to improve the diagnosis
Hiroyuki Matsubayashi
World Journal of Gastroenterology.2016; 22(2): 628. CrossRef - A Patient with a Wedge-shaped Pulmonary Lesion Associated with Streptococcus parasanguinis
Hiroya MIYAMOTO, Harumi GOMI, Haruhiko ISHIOKA, taijiro SHIROKAWA
Kansenshogaku Zasshi.2016; 90(3): 316. CrossRef - Immunodepletion Plasma Proteomics by TripleTOF 5600 and Orbitrap Elite/LTQ-Orbitrap Velos/Q Exactive Mass Spectrometers
Kelly A. Jones, Phillip D. Kim, Bhavinkumar B. Patel, Steven G. Kelsen, Alan Braverman, Derrick J. Swinton, Philip R. Gafken, Lisa A. Jones, William S. Lane, John M. Neveu, Hon-Chiu E. Leung, Scott A. Shaffer, John D. Leszyk, Bruce A. Stanley, Todd E. Fox
Journal of Proteome Research.2013; 12(10): 4351. CrossRef
- Pancreatic Pseudocyst after Fully Covered Self-expandable Metallic Stent Placement
- 9,463 View
- 60 Download
- 7 Crossref
Special Issue Articles of IDEN 2012
- Endoscopic Ultrasound-Guided Drainage of Pancreatic Fluid Collections (with Video)
- Mark Topazian
- Clin Endosc 2012;45(3):337-340. Published online August 22, 2012
- DOI: https://doi.org/10.5946/ce.2012.45.3.337
-
Abstract
PDFPubReaderePub
Endoscopic ultrasound (EUS) is often used to guide drainage of pancreatic fluid collections (PFCs). EUS enhances the diagnosis of cystic pancreatic lesions and enables real-time image-guided control of PFC drainage. EUS may facilitate the endoscopic treatment of patients with pancreatic necrosis and patients with disconnected pancreatic duct syndrome.
-
Citations
Citations to this article as recorded by- Endoscopic ultrasound-guided drainage for local complications related to pancreatitis
Hyung Ku Chon, Seong-Hun Kim
International Journal of Gastrointestinal Intervention.2023; 12(1): 7. CrossRef - Endoscopic Management of Necrotic Pancreatic Fluid Collections in the Setting of Disrupted Pancreatic Duct Syndrome: Out Like a LAMS?
Augustin R. Attwell
Digestive Diseases and Sciences.2023; 68(8): 3213. CrossRef - Impact of disconnected pancreatic duct syndrome on endoscopic ultrasound-guided drainage of pancreatic fluid collections
Lillian Wang, Sherif Elhanafi, Andrew C. Storm, Mark D. Topazian, Shounak Majumder, Barham K. Abu Dayyeh, Michael J. Levy, Bret T. Petersen, John A. Martin, Suresh T. Chari, Santhi S. Vege, Vinay Chandrasekhara
Endoscopy.2021; 53(06): 603. CrossRef - Endoscopic Ultrasound-Guided Drainage without Fluoroscopic Guidance for Extraluminal Complicated Cysts
Hyeong Seok Nam, Hyung Wook Kim, Dae Hwan Kang, Cheol Woong Choi, Su Bum Park, Su Jin Kim, Dae Gon Ryu, Joon Ho Jeon
Gastroenterology Research and Practice.2016; 2016: 1. CrossRef - A case of disconnected pancreatic duct syndrome after walled-off necrosis of necrotic severe pancreatitis that underwent pancreaticojejunostomy to preserve remaining pancreatic function
Masanobu USUI, Hiroyuki KATO, Hiroyuki INOUE, Yusuke IIZAWA, Yasuhiro MURATA, Akihiro TANEMURA, Yoshinori AZUMI, Naohisa KURIYAMA, Masashi KISHIWADA, Shugo MIZUNO, Hiroshi SAKURAI, Shuji ISAJI
Suizo.2016; 31(6): 833. CrossRef - Echoendoscopes
Faris M. Murad, Sri Komanduri, Barham K. Abu Dayyeh, Shailendra S. Chauhan, Brintha K. Enestvedt, Larissa L. Fujii-Lau, Vani Konda, John T. Maple, Rahul Pannala, Nirav C. Thosani, Subhas Banerjee
Gastrointestinal Endoscopy.2015; 82(2): 189. CrossRef - El papel terapéutico del ultrasonido endoscópico en las colecciones líquidas peripancreáticas
Luis Eduardo Casasola-Sánchez, Félix Ignacio Téllez-Ávila
Endoscopia.2015; 27(2): 87. CrossRef - Endoscopic Drainage of Pseudocysts
Tae Jun Song, Sang Soo Lee
Clinical Endoscopy.2014; 47(3): 222. CrossRef - Disconnected Pancreatic Duct Syndrome
Jose Manuel Ramia, Joan Fabregat, Manuel Pérez-Miranda, Joan Figueras
Cirugía Española (English Edition).2014; 92(1): 4. CrossRef - Síndrome del ducto pancreático desconectado
Jose Manuel Ramia, Joan Fabregat, Manuel Pérez-Miranda, Joan Figueras
Cirugía Española.2014; 92(1): 4. CrossRef - Endoscopic Ultrasound-Guided Treatment beyond Drainage: Hemostasis, Anastomosis, and Others
Jessica L. Widmer, Kahaleh Michel
Clinical Endoscopy.2014; 47(5): 432. CrossRef
Suizo.2014; 29(5): 775. CrossRef
- Endoscopic ultrasound-guided drainage for local complications related to pancreatitis
- 7,528 View
- 65 Download
- 12 Crossref
Case Report
- Adenosquamous Carcinoma of the Pancreas: A Case Report
- Jun Hyuk Son, M.D., Sang Hyub Lee, M.D., Byung Hyo Cha, M.D.§, Jin Hyeok Hwang, M.D., Yun Bin Lee, M.D., Yoo Seok Yoon, M.D*, So Yeon Kim, M.D.† and Hae Ryoung Kim, M.D.‡
- Korean J Gastrointest Endosc 2011;42(6):433-436. Published online May 25, 2011
-
Abstract
PDF
- Adenosquamous carcinoma of the pancreas is a rare tumor, which is difficult to diagnose. A 65-year-old man was admitted complaining of abdominal pain. Abdominal computed tomography (CT) demonstrated a cystic mass in the pancreatic body. Endoscopic ultrasound (EUS) showed an approximate 1.0 cm-sized hypoechoic cystic mass with a solid portion in the pancreatic body and narrowing of the main pancreatic duct. Under the impression of acute pancreatitis with a pseudocyst diagnosis, medical therapy including pancreatic stent insertion was administered to the patient for 4 weeks. A distal pancreatectomy was performed with the suspicion of pancreatic cancer due to the remaining mass on a follow-up CT scan, and the tumor was histopathologically diagnosed as stage I (TNM classification) adenosquamous carcinoma of the pancreatic body. The patient was discharged without any problems and has been on follow-up without recurrence. We report a case of adenosquamous carcinoma of the pancreas that was diagnosed relatively early with the help of EUS.
- 2,838 View
- 20 Download
- Endoscopic Treatment of Main Pancreatic Duct Transection, Accompanied with Pseudocyst after Abdominal Trauma, with Using Pancreatic Duct Stent: A Case Report
- Tae Joo Jeon, M.D., Hyun Park, M.D., Dong Dae Seo, M.D., Tae-Hoon Oh, M.D., Won Chang Shin, M.D., Won-Choong Choi, M.D. and Ki Hwan Kim, M.D.*
- Korean J Gastrointest Endosc 2008;37(2):146-150. Published online August 30, 2008
-
Abstract
PDF
- Pancreatic trauma is uncommon, but this is associated with high mortality and morbidity rates. Unrecognized main pancreatic duct injury results in early complications such as fistula, pseudocyst, abscess, hemorrhage and pancreatitis. The management of traumatic pseudocyst includes observation, external drainage, internal drainage and operation. The treatment modality is determined by the site and extent of the injury to the main pancreatic duct. Pancreatic stents have been widely used to treat pancreatic diseases such as pancreatitis, pseudocyst, fistula and stricture. Pancreatic stenting has been proven to be effective in the treatment of traumatic pseudocyst associated with the partial rupture of the main pancreatic duct. Surgical treatment is currently the main stay of therapy for complete transection of the main pancreatic duct accompanied with pseudocyst, but the role of pancreatic stenting has not been established. Herein we present our clinical experience with endoscopic treatment for main pancreatic duct transection, accompanied with pseudocyst after abdominal trauma, with using a pancreatic stent. (Korean J Gastrointest Endosc 2008;37:146-150)
- 2,128 View
- 8 Download
- Linear Array Endoscopic Ultrasound-Guided Drainage of a Pancreatic Pseudocyst without Using Fluoroscopy
- Kwi-Sook Choi, M.D., Sang Soo Lee, M.D., Sung Hee Pyo, M.D., Ja Young Kim, M.D., Jong Cheol Kim, M.D., Eun Kwang Choi, M.D., Dong Wan Seo, M.D., Sung Koo Lee, M.D. and Myung-Hwan Kim, M.D.
- Korean J Gastrointest Endosc 2006;32(4):302-305. Published online April 30, 2006
-
Abstract
PDF
- Endoscopic drainage of pancreatic pseudocysts is the initial treatment of choice for symptomatic pancreatic pseudocysts and nonresolving pseudocysts. Recently, endoscopic ultrasound (EUS) has been used as a guide for transmural entry and the safer drainage of pancreatic pseudocysts. We report a case of therapeutic linear array EUS- guided pseudocyst drainage without the use of fluoroscopy in a patient with portal hypertension. (Korean J Gastrointest Endosc 2006;32:302306)
- 2,426 View
- 6 Download
- Upper Gastrointestinal Hemorrhage from Pancreatic Pseudocyst Involving the Duodenum: A Case Report
- Chan Ran You, M.D., Seung Whan Shin, M.D., Bo In Lee, M.D., Jeong Seon Ji, M.D., Byung Wook Kim, M.D., Hwang Choi, M.D., Se Hyun Cho, M.D., Hiun Suk Chae, M.D., Kyu Yong Choi, M.D. and In Sik Chung, M.D.
- Korean J Gastrointest Endosc 2004;29(4):217-221. Published online October 30, 2004
-
Abstract
PDF
- Most pancreatic pseudocysts are located in or around the pancreas, but they can be found in all the potential spaces around viscera in and outside of the abdominal cavity. The complications of pancreatic pseudocysts are infection, rupture, fistula, obstruction and hemorrhage. However, an upper gastrointestinal bleeding caused by pancreatic pseudocyst is rare. Pseudocysts with complication like hemorrhage require percutaneous, endoscopic or surgical treatment. We report a case of the pancreatic pseudocyst involving duodenal wall with upper gastrointestinal hemorrhage, which was improved by conservative treatment. (Korean J Gastrointest Endosc 2004;29: 217221)
- 2,259 View
- 7 Download
- 췌장 가성낭에 대한 내시경적 낭종배액술
- Korean J Gastrointest Endosc 2003;27(5):420-420. Published online November 20, 2003
- 1,851 View
- 8 Download
- A Case of Gastric Ectopic Pancreas Complicated by Pancreatitis and Pseudocyst Formation
- Joon Ho Wang, M.D., Jae Dong Lee, M.D., Chong Ju Kim, M.D., Hyung Seok Park, M.D., Chun Jo Jin, M.D., Mun Su Kang, M.D.*, Hi Young Sin, M.D., Keung Bin No, M.D., Keung Sub Song, M.D. and Hwa Suk Jung, M.D.
- Korean J Gastrointest Endosc 2003;27(3):175-179. Published online September 30, 2003
-
Abstract
PDF
- Ectopic pancreas rarely produces clinical symptoms. Most commonly reported symptoms were abdominal pain, epigastric discomfort, nausea, vomiting, and bleeding. However, presentation of specific symptoms due to its size and location, including obstructive jaundice, and pyloric obstruction are possible. Ectopic pancreas is subject to various pathological changes occurring in the pancreas itself; namely, cyst, pancreatitis, hemorrhage, necrosis, and neoplastic change. We present a case of 60-year old woman with right upper quadrant pain in whom the surgical pathologic diagnosis was ectopic pancreas of the stomach complicated by pancreatitis and pseudocyst formation.
- 2,397 View
- 5 Download
- 지상발표 / 위 : 급성 췌장염에 합병된 위내 가성 낭종
- Korean J Gastrointest Endosc 2001;22(5):391-391. Published online November 30, 2000
- 1,541 View
- 3 Download
- 구연 / 담췌 : 67 세 남자 , 심와부 동통
- Korean J Gastrointest Endosc 2001;22(5):329-330. Published online November 30, 2000
- 1,637 View
- 1 Download
- 위벽에 종양으로 발현한 췌장 가성 낭종 1 예 ( A Gastric Intramural Pancreatic Pseudocyst : An Unuaual Presentation as a Gastric Intramural Tumor )
- Korean J Gastrointest Endosc 2001;23(4):269-272. Published online November 30, 2000
-
Abstract
PDF
- We report a case of pancreatic pseudocyst presenting as an intramural gastric tumor on upper gastrointestinal examination, endoscopic ultrasound and computed tomography of the abdomen. Pancreatic pseudocysts in the stomach wall is rare and the most of them presented as a cystic mass, but this case was presented as a gastric mural solid tumor. Exploration revealed an about 4´4´2 cm sized round mass at the midbody of great curvature of stomach, it was in the muscle layer, and removed by surgical operation. The correct diagnosis of this case was established postoperately on the pathologic examination revealed pancreatic pseudocyst. (Korean J Gastrointest Endosc 2001;23:269-272)
- 1,834 View
- 4 Download
- 만성췌장염에서 발생한 진단이 어려웠던 가성동맥류 2 예 - 천자와 hemosuccus pancreaticus 로 확인된 가성동맥류 - ( Two Difficultly Diagnosed Cases with Pseudoaneurysm in Chronic Pancreatitis - Pseudoaneurysms Identified Inadvertently during Percutaneous Drainage and Hemosuccus Pancreaticus - )
- Korean J Gastrointest Endosc 2001;23(4):263-268. Published online November 30, 2000
-
Abstract
PDF
- Pseudoaneurysm is a rare life-threatening complication of chronic pancreatitis. It can be diagnosed by various imaging modalities including computerized tomography (CT), ultrasound, and angiography. Early diagnosis and radiologic or surgical treatment can promise better outcomes. However, pseudoaneurysm is not easily diagnosed. It can be misdiagnosed as a pseudocyst with secondary infection. Rarely, the correct diagnosis is made by an inadvertent trial with percutaneous drainage. The endoscopically identified hemosuccus pancreaticus is also a rare finding. Recently, we experienced two cases of pseudoaneurysm in patients with chronic pancreatitis. They did not have any evidence of bleeding in the initial eddoscopy or evidence of pseudoaneurysms in the initial ultrasound and CT scan. In one case, the pseudoaneurysm was identified during a percutaneous drainage procedure, performed to diagnose and manage a cystic lesion which apperared to be an infected cyst. In the other case, the pseudoaneurysm was suspected after the hemosuccus pancreaticus was found during endoscopy performed due to recurrent hematemesis. Both cases were successfully treated with arterial embolization of the pseudoaneurysms. (Korean J Gastrointest Endosc 2001;23:263-268)
- 1,860 View
- 4 Download
- 내시경적 낭종 배액술로 치료한 췌장 가성낭종 1 예
- Korean J Gastrointest Endosc 2001;23(5):424-424. Published online November 30, 2000
- 1,542 View
- 11 Download
- Haemosuccus Pancreaticus 1예 ( A Case of Haemosuccus Pancreaticus )
- Korean J Gastrointest Endosc 2000;20(3):222-226. Published online November 30, 1999
-
Abstract
PDF
- Haemosuccus pancreaticus describes the syndrome of gastrointestinal bleeding into the pancreatic duct, manifested by blood loss through the ampulla of Vater. It has been confined mainly to small series or isolated case reports in patients with chronic pancreatitis with pseudocysts. Endoscopy is useful mostly to exclude other sources of hemorrhage but visualization of bleeding from the papilla is a rare event. A case in herein reported of a patient, suffering from bleeding into the pancreatic duct, who had a history of recurrent, chronic pancreatitis with pseudocysts for 6 months. During duodenoscopic examination, bleeding from the papilla of Vater was identified, however the alternative cause was not suggestive. In alcoholic pancreatitis, recurrent eipsodes of acute pancreatitis with pancreatic ductal hemorrhage is a natural history, so resection of the affected segment of the pancreas can be the treatment of choice. A distal pancreatectomy and splenectomy was performed.
- 1,707 View
- 3 Download
- 십이지장벽 내에 발생한 췌장 가성낭종 1예 ( A Case of Intramural Pancreatic Pseudocyst of the Duodenum )
- Korean J Gastrointest Endosc 2000;20(1):58-62. Published online November 30, 1999
-
Abstract
PDF
- Pancreatic pseudocysts are a well-recognized complication of pancreatitis. Most occur in or adjacent to the pancreas. Occasionally, duodenal involvement may occur due to the nonperitonealized posterior surface of the duodenum is in direct contact with the head of the pancreas. But there is little awareness of the intramural and major extrinsic involvement of the duodenum with also occurs. A case was recently experienced involving an intramural pancreatic pseudocyst of the duodenum. (Korean J Gastrointest Endosc 2000;20:58 62)
- 1,767 View
- 4 Download
- 췌장 가성낭종 내에 완전 삽입된 Pigtail 스텐트의 올가미를 이용한 교정 (Correction of Incidentally Migrated Pigtail Stent in Pancreatic Pseudocyst using Polypectomy Snare)
- Korean J Gastrointest Endosc 1999;19(2):318-321. Published online November 30, 1998
-
Abstract
PDF
- Endoscopic drainage of pancreatic pseudocysts is a new nonsurgical treatment modality. Among the cystogastrostomy and stent related complications, proximal migration of stent is rare and the correction of inserted stent into a pseudocyst is very difficult. We report a correction of an incidentally inserted pigtail stent into pseudocyst using a polypectomy snare. (Korean J Gastrointest Endosc 19: 318 ∼321, 1999)
- 1,601 View
- 3 Download
- 증례 : 담도 췌장 ; 특이한 췌관 조영술 소견을 보인 췌장 편평상피 선암 ( Adenosquamous carcinoma ) 1예 ( Case Reports : Biliary Tract & Pancreas ; A Case of Adenoequamous Carcinoma of the Pancreas with Unusual Pancreatographic Findings )
- Korean J Gastrointest Endosc 1998;18(1):129-135. Published online November 30, 1997
-
Abstract
PDF
- Adenosquamous carcinoma of the pancreas is a rare form of pancreatic cancer. Its biological behavior and clinical features are known to be similar to the much more common ductal adenocarcinoma or to pure squamous cell carcinoma, another rare form of pancreatic malignancy. However, the unusual manifestations of cancer, including cystic degeneration and extravasation of contrast to the mass, have also been reported. A 64-year-old man was admitted complaining of abdominal pain. An abdomial CT scan demonstrated an ovoid and cyst-like lesion in the pancreatic head and endoscopic retrograde balloon pancreatography showed segmental narrowing of the main pancreatic duct associated with extravasation of contrast into the cyst-like lesion. Under the impression of pancreatic pseudocyst with chronic pancreatitis, medical therapy including pancreatic stent insertion was given to the patient for four weeks. Finally, a laparotomy was performed due to persistent abdominal pain and a poorly demarcated mass with cystic cavity was resected. Histologic findings were consistent with adenosquamous carcinoma of the pancreas. The unusual features of this rare malignancy which led us to an errorneous initial diagnosis were emphasized. (Korean J Gasitrointest Endosc 18: 129-133, 1997)
- 1,761 View
- 1 Download
- 증례 : 식도 위장관 ; 췌장염에 동반된 가성 낭종으로 오인했던 췌장의 점액성 낭성 종양 1예 ( Case Reports : Esophagus , Stomach & Intestine ; Pancreatic Mucinous Cystic Neoplasm Presented as Recurrent Pancreatitis with Masquerading a Pseudocyst )
- Korean J Gastrointest Endosc 1998;18(6):963-967. Published online November 30, 1997
- 1,837 View
- 2 Download
- 증례 : 식도 위장관 ; 내시경적 낭종배액술로 치료한 췌장 가성낭종 2예 ( Case Reports : Esophagus , Stomach & Intestine ; Two Cases of Pancreatic Pseudocyst Treated with Endoscopic Cystogastrostomy throughout Stent and ENPD Catheter )
- Korean J Gastrointest Endosc 1998;18(6):951-956. Published online November 30, 1997
-
Abstract
PDF
- Pancreatic pseudocysts were complicated in 10-27% of acute pancreatitis and 11-41% of chronic pancreatitis. Asymptomatic pseudocysts require no treatment, but symptomatic pseudocysts should be decompressed. Surgical management had been the traditional approach to treating pancreatic pseudocysts. Endoscopic transpapillary or transduodenal cystoenterostomy were recently suggested as an alternative to surgery in order to avoid surgical complications. The success rates of endoscopic treatment was 65-94%, procedure related morbidity was 6-21% and mortality was 0-5%. We reported two cases of patients with pancreatic pseudocysts which were treated with endoscopic cystogastrostomy and proceeded to drain through stent and ENPD catheter. (Korean J Gastrointest Endosc 18: 951-956, 1998)
- 1,724 View
- 1 Download
- 증례 : 식도 위장관 ; 성인에서 발견된 췌장 가성낭종 양상을 보인 위 거대 중복낭종 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A Large Gastric Duplication Cyst Resembling a Pancreatic Pseudocyst in an Adulf - Report of one case - )
- Korean J Gastrointest Endosc 1998;18(5):719-725. Published online November 30, 1997
-
Abstract
PDF
- Duplication of the alimentary tract is an unusual congenital anomaly which may occur at any level, from the oral cavity to the rectum. Gastric duplication cyst is quite rare and most of them are presented in infancy with the sypmtoms of vomiting, abdominal pain, weight loss, gastrointestinal bleeding resulting from partial or complete obstruction. Some cases have not been diagnosed until adult when duplication cyst is not large enough to cause acute obstruction in infancy. Our case is more unusual in the aspect of its presence in adult and its nature resembles huge pancreatic pseudocyst. A 18-year man came to our hospital with complaint of epigastric pain for three days. A gastrofiberoscopy revealed a round protruding mass with smooth surface of normal mucosa at the fundus and computed tomography of the abdomen revealed the presence of 6.0 X 6.0 cm sized cystic mass between posterior wall of stomach and pancreas, and another 2.0 x 2.0 cm sized mass in ant. wall of stomach, which were regarded as mutiple pancreatic pseudocysts in perigastric region. Endoscopic retrograde cholangiopancreatography did not disclose any pancreatic ductal abnormality or communication with the cyst. Endoscopic ultrasonography showed anechoic cystic mass under 3rd layer of stomach wall, which was removed by surgical resection. Postoperative pathologic examination disclosed multiple gastric duplications. (Korean J Gastrointest Endosc 18: 719-723, 1998)
- 1,927 View
- 8 Download
- 증례 : 담도 췌장 ; 경유두적 췌관 배액술로 치유한 췌장 가성 낭종 1예 ( Case Reports : Biliary Tract & Pancreas ; A Case of Pancreatic Pseudocyst Resolved by Transpapillary Drainage via the Main Pancreatic Duct )
- Korean J Gastrointest Endosc 1998;18(3):439-443. Published online November 30, 1997
-
Abstract
PDF
- A 68-year-old man was admitted due to abdominal pain. He was diagnosed as having recurrent pancreatitis with a pseudocyst, which is communicated through the main pan- creatic duct. An endoscopic pancreatic sphincterotomy and insertion of a nasopancreatic tube into the main pancreatic duct via transpapillary drainage were performed. As a result, the pseudocyst disappeared and the pain was relieved. Thus it was concluded that transpapillary drainage via the main pancreatic duct is a safe and effective treatment for pancreatic pseudocysts, which is communicated through the main pancreatic duct. (Korean J Gastrointest Endosc 18: 439-443, 1998)
- 1,596 View
- 2 Download
- 증례 : 담도 췌장 ; 만성췌장염에 동반된 가성동맥류 1예 ( Case Reports : Biliary Tract & Pancreas ; A Case of a Pseudoaneurysm in Chronic Pancreatitis )
- Korean J Gastrointest Endosc 1998;18(2):276-280. Published online November 30, 1997
-
Abstract
PDF
- The bleeding pseudoaneurysm is a rare condition but one of the lethal complications in patients with chronic pancreatitis. Early diagnosis and emergent intervention can reduce mortality and promise better outcomes. We experienced a case of a bleeding pseudo- aneurysm in a chronic pancreatitis patient. The 44-year-old male was suffering from con- tinuous, vague epigastric pain and black tarry stool. An abdominal CT scan revealed a homogeneously enhancing round mass in the pancreatic pseudocyst, and celiac angi- ography found that a pseudoaneurysm had originated from the pancreaticoduodenal artery. The patient was treated with Whipple's operation and was later discharged, having improved in his condition. (Korean J Gastrointesl Endosc 18: 276-280, 1998)
- 1,758 View
- 2 Download
- 증례 : 담도 췌장 ; 상부위장관 출혈로 나타난 출혈성 췌장가성낭종 ( Case Reports : Biliary Tract & Pancreas ; Pancreatic Pseudocyst Causing Gastrointestinal Hemorrhage ( Hemosuccus pancreaticus ) )
- Korean J Gastrointest Endosc 1995;15(4):803-809. Published online November 30, 1994
-
Abstract
PDF
- Hemorrhage into a pancreatic pseudocyst is a rare, but increasingly recognized as a cause of massive gastrointestial bleeding. Bleeding pseudocysts may rupture into the stomach, duodenum, common bile duct, and splenic vein, or can be decompressed via the duct of Wirsung. Also it will result in upper gastrointestinal bleeding. This represents a life-threatening and frequently unrecognized complication of pancreatic disease. Proper diagnostic workup and prompt surgical management afford the patient the best chance for survival . We report a patient with pseudocyst bleeding into the gastrointestinal tract via the duct of Wirsung and discuss the current diagnostic and therapeutic approach. (Kor J Gastrointest Endosc 15: 803-807, 1995)
- 1,864 View
- 5 Download
- 원저 : 췌장의 낭성병변에서 ERCP 의 진단적 의의 ( Original Articles : Diagnostic Value of ERCP in Pancreatic Cystic Lesions )
- Korean J Gastrointest Endosc 1994;14(2):175-181. Published online November 30, 1993
-
Abstract
PDF
- The majority of cystic lesions of the pancreas are psudocysts and a small fraction neoplastic. Failure to recognize the true nature of neoplastic cyst will lead to an incorrct treatment strategy. Ultrasonography, computerized tomography and angiography were used to distingish these lesions, but diagnostic value of ERCP is in controversy. To evaluate the diagnostic value of ERCP in cystic lesions of the pancreas, we analysed 33 cases of pancreatic cystic lesions (pseudocyst 18 cases, retention cyst 3 cases and cystic, neoplasm l2 cases) between Apr. 1985 and June 1993. In 18 cases of pseudocysts, ERP findings were communication with cyst in 8 cases (44.4%), chronic pancreatitis in 8 cases (44.4%), obstruction in 4 cases (22.2%) and displscement of pancreatic duct in 2 cases (11.1%), and ERC findings, which were perfomed in 8 cases, showed cholangitis in 3 cases (37.5%), CBD stone in 2 cases (25%), mass effect in 1 case (12.5%) and normal in 2 cases (25%). There was no communication with the cyst and pancreatic duct, except two mucinous ductal ectasia, in 12 cases of cystic neoplasms, and the other findings were displacement of pancreatic duct in 4 cases (33.3%), obstruction in 2 cases (16.7%) and normal in 4 cases (33.3%). ERC findings of cystic neoplasm were almost normal (85.7%) except 1 case of cholangitis. In conclusion, ERCP findings of pseudocysts were communication with pancreatic duct, chronic pancreatitis and biliary tract abnormality. In contrast, ERCP findings of cystic neoplasms were displacement or obstruction of pancreatic duct without communication and chronic pancreatitis, and biliary tract abnormality were rare.
- 1,699 View
- 5 Download
First
Prev
