Pancreatic Fluid Collection Drainage by Endoscopic Ultrasound: An Update
Open Access
- 1 January 2013
- journal article
- review article
- Published by The Korean Society of Gastrointestinal Endoscopy in Clinical Endoscopy
- Vol. 46 (5), 506-514
- https://doi.org/10.5946/ce.2013.46.5.506
Abstract
Endoscopic management of symptomatic pancreatic fluid collections (PFCs) is now considered to be first line therapy. Expanded use of endoscopic ultrasound (EUS) techniques has resulted in increased applicability, safety, and efficacy of endoscopic transluminal PFC drainage. Steps include EUS-guided trangastric or transduodenal fistula creation into the PFC followed by stent placement or nasocystic drain deployment in order to decompress the collection. With the remarkable improvement in the available accessories and stents and development of exchange free access device; EUS drainage techniques have become simpler and less time consuming. The use of self-expandable metal stents with modifications to drain PFC has helped in overcoming some previously encountered challenges. PFCs considered suitable for endoscopic drainage include collection present for greater than 4 weeks, possessing a well-formed wall, position accessible endoscopically and located within 1 cm of the duodenal or gastric walls. Indications for EUS-guided drainage have been increasing which include unusual location of the collection, small window of entry, nonbulging collections, coagulopathy, intervening varices, failed conventional transmural drainage, indeterminate adherence of PFC to the luminal wall or suspicion of malignancy. In this article, we present a review of literature to date and discuss the recent developments in EUS-guided PFC drainage.Keywords
Funding Information
- Boston Scientific
- Fujinon
- EMcison
- Xlumena Inc.
- MaunaKea
- MI Tech
This publication has 61 references indexed in Scilit:
- Endosonography-guided drainage of pancreatic fluid collections with a novel lumen-apposing stentSurgical Endoscopy, 2012
- Single-step endoscopic ultrasonography-guided drainage of peripancreatic fluid collections with a single self-expandable metal stent and standard linear echoendoscopeEndoscopy, 2012
- Transenteric drainage of pancreatic-fluid collections with fully covered self-expanding metallic stents (with video)Gastrointestinal Endoscopy, 2008
- Prospective randomized trial comparing EUS and EGD for transmural drainage of pancreatic pseudocysts (with videos)Gastrointestinal Endoscopy, 2008
- Single-step EUS-guided transmural drainage of simple and complicated pancreatic pseudocystsGastrointestinal Endoscopy, 2006
- Endoscopic management of pancreatic pseudocysts or abscesses after an EUS-guided 1-step procedure for initial accessGastrointestinal Endoscopy, 2006
- Transmural Drainage of Cystic Peripancreatic Lesions with a New Large-Channel Echo EndoscopeEndoscopy, 2001
- Endoscopic Ultrasound-Guided One-Step Transmural Drainage of Cystic Abdominal Lesions with a Large-Channel Echo EndoscopeEndoscopy, 2000
- The Diagnosis and Management of Fluid Collections Associated with PancreatitisAmerican Journal Of Medicine, 1997
- Transpapillary and transmural drainage of pancreatic pseudocystsGastrointestinal Endoscopy, 1995