Modern Management of Pancreatic Fluid Collections

被引:23
作者
Andalib, Iman [1 ]
Dawod, Enad [1 ]
Kahaleh, Michel [1 ]
机构
[1] Weill Cornell Med Coll, Dept Gastroenterol & Hepatol, New York, NY 10021 USA
关键词
pseudocyst; pancreatic necrosis; pancreatic fluid collection; endoscopic necrosectomy; lumen-apposing metal stent; PERCUTANEOUS CATHETER DRAINAGE; ACUTE NECROTIZING PANCREATITIS; ULTRASOUND-GUIDED DRAINAGE; APPOSING METAL STENT; WALLED-OFF NECROSIS; ENDOSCOPIC ULTRASOUND; TRANSMURAL DRAINAGE; PSEUDOCYST DRAINAGE; SURGICAL DRAINAGE; UP APPROACH;
D O I
10.1097/MCG.0000000000000940
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The last decade has seen dramatic shift in paradigm in the management of pancreatic fluid collections with the rise of endoscopic therapy over radiologic or surgical management. Endosonographic drainage is now considered the gold standard therapy for pancreatic pseudocyst. Infected pancreatic necroses are being offered endoscopic necrosectomy that has been facilitated by the arrival on the market of large diameter lumen-apposing metal stent. Severe pancreatitis or failure to thrive should receive enteral nutrition while pancreatic ductal disruption or strictures are best treated by pancreatic stenting.
引用
收藏
页码:97 / 104
页数:8
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