Endoscopic ultrasound guided drainage of pancreatic fluidcollections： Assessment of the procedure, technical detailsand review of the literature

• 作者: Rajesh Puri Ragesh Babu Thandassery Abdulrahman A Alfadda Saad Al Kaabi
• 来源期刊: 世界胃肠内镜杂志：英文版（电子版）
• 学科: 医学
• 关键词: ACUTE PANCREATITIS PANCREATIC fluid COLLECTIONS ENDOSCOPIC ULTRASOUND-GUIDED drainage
• 年，卷（期）: 2015,（4）
• 页码范围: 354-363
• 页数: 10页
• 分类号: R

摘要

Endoscopic ultrasound （EUS） guided drainage ofpancreatic fluid collections （PFC） has become increasinglypopular and become first line managementoptionin many centers. Use of therapeutic echoendoscopeshas greatly increased the applicability of EUS guidedtransmural drainage. Drainage is indicated insymptomatic PFCs, PFC related infection, bleed, luminalobstruction, fistulization and biliary obstruction. EUSguided transmural drainage of PFCs is preferred inpatients with non bulging lesions, portal hypertension,bleeding tendency and in those whom conventionaldrainage has failed. In the present decade significantprogress has been made in minimally invasive endoscopictechniques. There are newer stent designs,access devices and techniques for more efficientdrainage of PFCs. In this review, we discuss the EUSguided drainage of PFCs in acute pancreatitis.