ASGE guideline: the role of endoscopy in the diagnosis and the management of cystic lesions and inflammatory fluid collections of the pancreas

Jacobson, Brian C.; Baron, Todd H.; Adler, Douglas G.; Davila, Raquel E.; Egan, James; Hirota, William K.; Leighton, Jonathan A.; Qureshi, Waqar; Rajan, Elizabeth; Zuckerman, Marc J.; Fanelli, Robert D.; Wheeler-Harbaugh, Jo; Faigel, Douglas O.

doi:10.1016/s0016-5107(04)02779-8

Cited by 237 publications

(160 citation statements)

References 53 publications

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“…The PFCs are considered for endoscopic drainage when they are symptomatic, demonstrate a well-formed wall and are located in an endoscopically accessible location (within 1 cm of the luminal wall) [7][8][9][10][11] . Computed tomography (CT) or magnetic resonance imaging is performed before drainage.…”

Section: Prerequisites For Eus Drainagementioning

confidence: 99%

“…Retrospective 100 100 0 None Penn et al [48] , 2012 (20) Prospective 100 85 15 Superinfection (n = 2), pancreatitis (n = 1) Mangiavillano et al [49] , 2012 (21) Prospective 85.7 81 4.8 Bleeding (n = 1) Weilert et al [27] , 2012 (18) Prospective 100 77.8 5.6 Tract dehiscence (n = 1) Gornals et al [28] , 2012 (9) Prospective 89 89 11.1 Tension pneumothorax (n = 1) Puri et al [50] , 2012 (40) Prospective 100 97 5 Pneumoperitoneum n-1, infection (n = 1) Siddiqui et al [51] , 2013 (87) Retrospective 99 79 18 Stent occlusion (n = 16) Lin et al [52] , 2014 (93) Retrospective 95 95 12 Secondary infection (n = 11) [8] and Singhal et al [25] .…”

Section: Complicationsmentioning

confidence: 99%

“…The recent data indicate drainage in PFCs that are symptomatic. Other indications include PFC related infection, bleed, luminal obstruction, fistulization, and biliary obstruction [7][8][9][10][11] . Size alone is not a criterion for drainage of PFCs, but those larger than 6 cm are usually symptomatic.…”

Section: Introductionmentioning

confidence: 99%

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Endoscopic ultrasound guided drainage of pancreatic fluid collections: Assessment of the procedure, technical details and review of the literature

Puri

Thandassery

Alfadda

et al. 2015

WJGE

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Endoscopic ultrasound (EUS) guided drainage of pancreatic fluid collections (PFC) has become increasingly popular and become first line management option in many centers. Use of therapeutic echoendoscopes has greatly increased the applicability of EUS guided transmural drainage. Drainage is indicated in symptomatic PFCs, PFC related infection, bleed, luminal obstruction, fistulization and biliary obstruction. EUS guided transmural drainage of PFCs is preferred in patients with non bulging lesions, portal hypertension, bleeding tendency and in those whom conventional drainage has failed. In the present decade significant progress has been made in minimally invasive endoscopic techniques. There are newer stent designs, access devices and techniques for more efficient drainage of PFCs. In this review, we discuss the EUS guided drainage of PFCs in acute pancreatitis.

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Section: Prerequisites For Eus Drainagementioning

confidence: 99%

Section: Complicationsmentioning

confidence: 99%

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Endoscopic ultrasound guided drainage of pancreatic fluid collections: Assessment of the procedure, technical details and review of the literature

Puri

Thandassery

Alfadda

et al. 2015

WJGE

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“…The American Society for Gastrointestinal Endoscopy guideline (#2) discussed the use of endoscopic modalities, such as endoscopic ultrasonography (EUS), EUS‐guided fine‐needle aspiration (EUS‐FNA), and endoscopic retrograde cholangiopancreatography (ERCP), in differentiating IPMN from other cystic pancreatic lesions 18. In 2006, international consensus guidelines (the IAP2006) (#3) were the first comprehensive guidelines referring to the diagnosis, indications for resection, and surveillance of IPMN 19.…”

Section: Comparison Of Current Guidelines For Ipmnmentioning

confidence: 99%

Comparison of guidelines for intraductal papillary mucinous neoplasm: What is the next step beyond the current guidelines?

Nakamura

Miyasaka

Sadakari

et al. 2017

Annals of Gastroent Surgery

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Management of intraductal papillary mucinous neoplasm is controversial, and several guidelines have aimed to establish an adequate strategy for surgical resection and surveillance. We compared various intraductal papillary mucinous neoplasm guidelines and considered new matters that are pivotal for improved treatment of intraductal papillary mucinous neoplasm. We identified and compared 11 published guidelines, three of which were major guidelines that mainly referred to the diagnosis and treatment of intraductal papillary mucinous neoplasm (International Association of Pancreatology 2012 guidelines, European Study Group on Cystic Tumours of the Pancreas 2013 guidelines, and American Gastroenterological Association 2015 guidelines). The main concerns of these three guidelines were indication for surgery and follow up of non‐resected lesions. Among the differences between the three guidelines, the period of surveillance recommended was the most controversial matter. Meanwhile, several nomograms have been proposed to improve the diagnosis of intraductal papillary mucinous neoplasm from the level of experts' experiences to that of rational systems. We discuss the adequate strategy of surveillance for intraductal papillary mucinous neoplasm with and without pancreatectomy and nomograms aiming to predict the risk of malignancy in patients with intraductal papillary mucinous neoplasm.

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“…44,52 Typically, these fluid collections may be managed conservatively; however, if they continue to enlarge, cause persistent abdominal pain, become infected, or compress adjacent organs, they may require further intervention. 53 Ductal disruption may be diagnosed when fluid collections have high levels of pancreatic amylase, and their presence may lead to the formation of pseudocysts, persistent ascites, or pleural effusions. 54 Pancreatic pseudocysts usually require 4 weeks for complete formation, and they classically contain fluid only without significant solid debris.…”

Section: Natural History and Complicationsmentioning

confidence: 99%

Acute pancreatitis

Munsell

Buscaglia

2010

Journal of Hospital Medicine

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Acute pancreatitis is a common disease most frequently caused by gallstone disease or excess alcohol ingestion. Diagnosis is usually based on characteristic symptoms, often in conjunction with elevated serum pancreatic enzymes. Imaging is not always necessary, but may be performed for many reasons, such as to confirm a diagnosis of pancreatitis, rule out other causes of abdominal pain, elucidate the cause of pancreatitis, or to evaluate for complications such as necrosis or pseudocysts. Though the majority of patients will have mild, self‐limiting disease, some will develop severe disease associated with organ failure. These patients are at risk to develop complications from ongoing pancreatic inflammation such as pancreatic necrosis, fluid collections, pseudocysts, and pancreatic duct disruption. Validated scoring systems can help predict the severity of pancreatitis, and thus, guide monitoring and intervention.Treatment of acute pancreatitis involves supportive care with fluid replacement, pain control, and controlled initiation of regular food intake. Prophylactic antibiotics are not recommended in acute pancreatitis if there is no evidence of pancreatic infection. In patients who fail to improve, further evaluation is necessary to assess for complications that require intervention such as pseudocysts or pancreatic necrosis. Endoscopy, including ERCP and EUS, and/or cholecystectomy may be indicated in the appropriate clinical setting. Ultimately, the management of the patient with severe acute pancreatitis will require a multidisciplinary approach. Journal of Hospital Medicine 2010;5:241–250. © 2010 Society of Hospital Medicine.

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ASGE guideline: the role of endoscopy in the diagnosis and the management of cystic lesions and inflammatory fluid collections of the pancreas

Cited by 237 publications

References 53 publications

Endoscopic ultrasound guided drainage of pancreatic fluid collections: Assessment of the procedure, technical details and review of the literature

Endoscopic ultrasound guided drainage of pancreatic fluid collections: Assessment of the procedure, technical details and review of the literature

Comparison of guidelines for intraductal papillary mucinous neoplasm: What is the next step beyond the current guidelines?

Acute pancreatitis

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