The i-EUS consensus on the management of pancreatic fluid collections – Part 1

• Published in: Digestive and liver disease Vol. 56; no. 10; pp. 1663 - 1674
• Main Authors: Capurso, Gabriele, Rizzo, Giacomo Emanuele Maria, Coluccio, Chiara, Crinò, Stefano Francesco, Cucchetti, Alessandro, Facciorusso, Antonio, Hassan, Cesare, Amato, Arnaldo, Auriemma, Francesco, Bertani, Helga, Binda, Cecilia, Cipolletta, Fabio, Forti, Edoardo, Fugazza, Alessandro, Lisotti, Andrea, Maida, Marcello, Sinagra, Emanuele, Sbrancia, Monica, Spadaccini, Marco, Tacelli, Matteo, Vanella, Giuseppe, Anderloni, Andrea, Fabbri, Carlo, Tarantino, Ilaria, Aragona, Giovanni, Arcidiacono, Paolo Giorgio, Arvanitaki, Marianna, Badas, Roberta, Barresi, Luca, Berretti, Debora, Bocus, Paolo, Camellini, Lorenzo, Cintorino, Davide, Cugia, Luigi, Dabizzi, Emanuele, De Angelis, Claudio Giovanni, Blanco, Giovanna Del Vecchio, Matteo, Francesco Maria Di, Mitri, Roberto Di, Ercolani, Giorgio, Falconi, Massimo, Fantin, Alberto, Ligresti, Dario, Macchiarelli, Raffaele, Mangiafico, Santi, Mangiavillano, Benedetto, Manno, Mauro, Maruzzelli, Luigi, Marzioni, Marco, Pedicini, Vittorio, Piras, Enrico, Pollino, Valeria, Sethi, Amrita, Siddiqui, Uzma, Togliani, Thomas, Traina, Mario, Tringali, Alberto, Venezia, Giovanna, Zerbi, Alessandro
• Format: Journal Article
• Language: English
• Published: Netherlands Elsevier Ltd 01.10.2024
• Subjects: Consensus; Drainage - methods; Endoscopy; Endosonography - methods; EUS; Humans; Italy; Lumen apposing metal stent; Pancreatic fluid collections; Pancreatic Pseudocyst - diagnostic imaging; Pancreatic Pseudocyst - surgery; Pancreatic Pseudocyst - therapy; Pancreatitis - therapy; Pseudocysts; Stents; Ultrasonography, Interventional; Walled-off necrosis; Italy; EUS; Lumen apposing metal stent; Pancreatic fluid collections; Endoscopy; Walled-off necrosis; Pseudocysts; Consensus
• ISSN: 1590-8658; 1878-3562; 1878-3562
• DOI: 10.1016/j.dld.2024.06.030

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; however, it has later shifted toward an endoscopy-based approach. With the development of dedicated lumen-apposing metal stents (LAMS), interventional Endoscopic Ultrasound (EUS)-guided procedures have become the standard approach for PFC drainage. However, there is still limited consensus on several aspects of the multidisciplinary management of PFCs. 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 describes the first part of the results of a consensus conference organized by i-EUS with the aim of providing evidence-based guidance on aspects such as indications for treating PFCs, the timing of intervention, and different technical strategies for managing patients with PFCs.