The 1st i-EUS consensus on the management of pancreatic fluid collections – Part 2
Pancreatic fluid collections (PFCs), including pancreatic pseudocysts (PPs) and walled-off pancreatic necrosis (WON), are common complications of pancreatitis and pancreatic surgery. Historically, the treatment of these conditions has relied on surgical and radiological approaches. The treatment of...
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Published in | Digestive and liver disease Vol. 56; no. 11; pp. 1819 - 1827 |
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Main Authors | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Netherlands
Elsevier Ltd
01.11.2024
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Abstract | Pancreatic fluid collections (PFCs), including pancreatic pseudocysts (PPs) and walled-off pancreatic necrosis (WON), are common complications of pancreatitis and pancreatic surgery. Historically, the treatment of these conditions has relied on surgical and radiological approaches. The treatment of patients with PFCs has already focused toward an endoscopy-based approach, and with the development of dedicated lumen-apposing metal stents (LAMS), it has almost totally shifted towards interventional Endoscopic Ultrasound (EUS)-guided procedures. However, there is still limited consensus on several aspects of PFCs treatment within the multidisciplinary management. The interventional endoscopy and ultrasound (i-EUS) group is an Italian network of clinicians and scientists with special interest in biliopancreatic interventional endoscopy, especially interventional EUS. This manuscript focuses on the second part of the results of a consensus conference organized by i-EUS, with the aim of providing evidence-based guidance on several intra- and post-procedural aspects of PFCs drainage, such as clinical management and follow-up. |
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AbstractList | Pancreatic fluid collections (PFCs), including pancreatic pseudocysts (PPs) and walled-off pancreatic necrosis (WON), are common complications of pancreatitis and pancreatic surgery. Historically, the treatment of these conditions has relied on surgical and radiological approaches. The treatment of patients with PFCs has already focused toward an endoscopy-based approach, and with the development of dedicated lumen-apposing metal stents (LAMS), it has almost totally shifted towards interventional Endoscopic Ultrasound (EUS)-guided procedures. However, there is still limited consensus on several aspects of PFCs treatment within the multidisciplinary management. The interventional endoscopy and ultrasound (i-EUS) group is an Italian network of clinicians and scientists with special interest in biliopancreatic interventional endoscopy, especially interventional EUS. This manuscript focuses on the second part of the results of a consensus conference organized by i-EUS, with the aim of providing evidence-based guidance on several intra- and post-procedural aspects of PFCs drainage, such as clinical management and follow-up. Pancreatic fluid collections (PFCs), including pancreatic pseudocysts (PPs) and walled-off pancreatic necrosis (WON), are common complications of pancreatitis and pancreatic surgery. Historically, the treatment of these conditions has relied on surgical and radiological approaches. The treatment of patients with PFCs has already focused toward an endoscopy-based approach, and with the development of dedicated lumen-apposing metal stents (LAMS), it has almost totally shifted towards interventional Endoscopic Ultrasound (EUS)-guided procedures. However, there is still limited consensus on several aspects of PFCs treatment within the multidisciplinary management. The interventional endoscopy and ultrasound (i-EUS) group is an Italian network of clinicians and scientists with special interest in biliopancreatic interventional endoscopy, especially interventional EUS. This manuscript focuses on the second part of the results of a consensus conference organized by i-EUS, with the aim of providing evidence-based guidance on several intra- and post-procedural aspects of PFCs drainage, such as clinical management and follow-up.Pancreatic fluid collections (PFCs), including pancreatic pseudocysts (PPs) and walled-off pancreatic necrosis (WON), are common complications of pancreatitis and pancreatic surgery. Historically, the treatment of these conditions has relied on surgical and radiological approaches. The treatment of patients with PFCs has already focused toward an endoscopy-based approach, and with the development of dedicated lumen-apposing metal stents (LAMS), it has almost totally shifted towards interventional Endoscopic Ultrasound (EUS)-guided procedures. However, there is still limited consensus on several aspects of PFCs treatment within the multidisciplinary management. The interventional endoscopy and ultrasound (i-EUS) group is an Italian network of clinicians and scientists with special interest in biliopancreatic interventional endoscopy, especially interventional EUS. This manuscript focuses on the second part of the results of a consensus conference organized by i-EUS, with the aim of providing evidence-based guidance on several intra- and post-procedural aspects of PFCs drainage, such as clinical management and follow-up. |
Author | Ligresti, Dario Berretti, Debora Fantin, Alberto Pedicini, Vittorio Venezia, Giovanna Capurso, Gabriele Arvanitaki, Marianna Maida, Marcello Binda, Cecilia Badas, Roberta Blanco, Giovanna Del Vecchio Fabbri, Carlo Maruzzelli, Luigi Manno, Mauro Mitri, Roberto Di Vanella, Giuseppe Cipolletta, Fabio Anderloni, Andrea Macchiarelli, Raffaele Matteo, Francesco Maria Di Siddiqui, Uzma Marzioni, Marco Pollino, Valeria Coluccio, Chiara Rizzo, Giacomo Emanuele Maria Piras, Enrico Mangiafico, Santi Barresi, Luca Dabizzi, Emanuele Cugia, Luigi Forti, Edoardo Sbrancia, Monica Togliani, Thomas Falconi, Massimo Tringali, Alberto Fugazza, Alessandro Sethi, Amrita Mangiavillano, Benedetto Bocus, Paolo Bertani, Helga Sinagra, Emanuele Spadaccini, Marco Facciorusso, Antonio Lisotti, Andrea Crinò, Stefano Francesco Traina, Mario Auriemma, Francesco De Angelis, Claudio Giovanni Tarantino, Ilaria Amato, Arnaldo Tacelli, Matteo Zerbi, Alessandro Arcidiacono, Paolo Giorgio Ercolani, Giorgio Cintorino, Davide Aragona, Giovanni Camellini, Lorenzo Cucchetti, Alessand |
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BackLink | https://www.ncbi.nlm.nih.gov/pubmed/39030137$$D View this record in MEDLINE/PubMed |
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ContentType | Journal Article |
Contributor | Ligresti, Dario Barresi, Luca Berretti, Debora Dabizzi, Emanuele Cugia, Luigi Fantin, Alberto Pedicini, Vittorio Venezia, Giovanna Togliani, Thomas Falconi, Massimo Tringali, Alberto Sethi, Amrita Arvanitaki, Marianna Mangiavillano, Benedetto Bocus, Paolo Badas, Roberta Blanco, Giovanna Del Vecchio Maruzzelli, Luigi Traina, Mario De Angelis, Claudio Giovanni Manno, Mauro Mitri, Roberto Di Macchiarelli, Raffaele Zerbi, Alessandro Matteo, Francesco Maria Di Siddiqui, Uzma Arcidiacono, Paolo Giorgio Marzioni, Marco Ercolani, Giorgio Pollino, Valeria Cintorino, Davide Aragona, Giovanni Camellini, Lorenzo Piras, Enrico Mangiafico, Santi |
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Michele Hospital, 09126, Cagliari, Italy – sequence: 28 givenname: Valeria surname: Pollino fullname: Pollino, Valeria organization: Columbia University Irving Medical Center, New York, New York – sequence: 29 givenname: Amrita surname: Sethi fullname: Sethi, Amrita organization: Center for Endoscopic Research and Therapeutics (CERT), University of Chicago, Chicago, Illinois, USA – sequence: 30 givenname: Uzma surname: Siddiqui fullname: Siddiqui, Uzma organization: Gastroenterology and Digestive Endoscopy Unit, University Hospital Borgo Trento, Verona, Italy – sequence: 31 givenname: Thomas surname: Togliani fullname: Togliani, Thomas organization: Gastroenterology and Digestive Endoscopy Unit, Azienda ULSS 2 Marca Trevigiana, Conegliano, Italy – sequence: 32 givenname: Mario surname: Traina fullname: Traina, Mario organization: Endoscopy Service, Department of Diagnostic and Therapeutic Services, Mediterranean Institute for Transplantation and Advanced Specialized Therapies (IRCCS - ISMETT), Palermo, Italy – sequence: 33 givenname: Alberto surname: Tringali fullname: Tringali, Alberto organization: Gastroenterology and Digestive Endoscopy Unit, Azienda ULSS 2 Marca Trevigiana, Conegliano, Italy – sequence: 34 givenname: Giovanna surname: Venezia fullname: Venezia, Giovanna organization: Gastroenterology Unit, Santa Croce e Carle Hospital, Cuneo, Italy – sequence: 35 givenname: Alessandro surname: Zerbi fullname: Zerbi, Alessandro organization: Pancreatic Surgery Unit, Humanitas Clinical and Research Center - IRCCS and Humanitas University - Department of Biomedical Sciences Rozzano, Milan, Italy |
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Snippet | Pancreatic fluid collections (PFCs), including pancreatic pseudocysts (PPs) and walled-off pancreatic necrosis (WON), are common complications of pancreatitis... |
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SubjectTerms | Consensus Drainage - methods Endoscopy Endosonography EUS guidelines Humans Italy LAMS Pancreatic fluid collections Pancreatic Pseudocyst - diagnostic imaging Pancreatic Pseudocyst - surgery Pancreatic Pseudocyst - therapy Pancreatitis - therapy Pancreatitis, Acute Necrotizing - diagnostic imaging Pancreatitis, Acute Necrotizing - surgery Pancreatitis, Acute Necrotizing - therapy Pseudocysts Stents Ultrasonography, Interventional Walled-off necrosis |
Title | The 1st i-EUS consensus on the management of pancreatic fluid collections – Part 2 |
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