Comparison of endoscopic versus percutaneous drainage of symptomatic pancreatic necrosis in the early (< 4 weeks) phase of illness

Endotherapy in Pancreatic Diseases

“…Although there is recent data on the safety and efficacy of endoscopic transmural drainage in patients with partially enclosed PFC, PCD currently is used in the majority of patients with symptomatic pancreatic fluid collections without a well-defined wall. [9][10][11] Early endoscopic interventions might be performed in patients with partial or complete encapsulated PFC, but careful consideration should be given to endoscopic drainage in the very early stage (<2 weeks) due to limited safety data and absence of encapsulation.…”

Endoscopic Management of Pancreatic Fluid Collections: Guidelines of Society of Gastrointestinal Endoscopy of India and Indian EUS Club

“…Therefore, we need to establish the safety and efficacy of early (<4 weeks) endoscopic drainage of PFC before it can be routinely recommended. [14][15][16]…”

Pitfalls in interventional EUS procedures and coping strategies for endoscopy assistants (with video)

“…Multiple plastic-stent placement is widely accepted in the EUS-guided pancreatic fluid collection (PFC) drainage, especially for PFC with solid necrosis or viscous cystic fluid. [ 15 16 ] If the multiple stents are placed by repeatedly intubating a single guidewire in the fistula tract and then introducing several stents along the single guidewire, when the second stent is introduced, the first indwelling stent may be inadvertently migrated into the cystic cavity. To avoid this issue, it is best to use a balloon catheter with a diameter of at least 10 mm to completely dilate the fistula before placing the first plastic stent to ensure that the diameter of fistula is sufficient to accommodate several 10-Fr stents.…”