The i-EUS consensus on the management of pancreatic fluid collections – Part 1
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 l...
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Published in | Digestive and liver disease Vol. 56; no. 10; pp. 1663 - 1674 |
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Main Authors | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
Format | Journal Article |
Language | English |
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Netherlands
Elsevier Ltd
01.10.2024
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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; 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. |
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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; 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. 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.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. |
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/39048418$$D View this record in MEDLINE/PubMed |
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CitedBy_id | crossref_primary_10_1007_s00464_025_11615_6 |
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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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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 - 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 |
Title | The i-EUS consensus on the management of pancreatic fluid collections – Part 1 |
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