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Endoscopic management of pancreatic walled-off necrosis.
- Source :
-
Annals of gastroenterology [Ann Gastroenterol] 2023 Mar-Apr; Vol. 36 (2), pp. 123-131. Date of Electronic Publication: 2023 Jan 04. - Publication Year :
- 2023
-
Abstract
- Pancreatic walled-off necrosis (WON) is a complication of severe pancreatitis. Endoscopic transmural drainage has been recognized as the first-line treatment for pancreatic fluid collections. Endoscopy offers a minimally invasive approach when compared to surgical drainage. Today, endoscopists may choose to use self-expanding metal stents, pigtail stents, or lumen-apposing metal stents to facilitate drainage of fluid collections. Current data suggest that all 3 approaches yield similar outcomes. It was previously thought that drainage should be performed 4 weeks from the initial event of pancreatitis, theoretically allowing the capsule to mature. However, current data show that both early (<4 weeks) and standard (≥4 weeks) endoscopic drainage are comparable. Herein, we provide an up-to-date state-of-the-art review of the indications, techniques, innovations, outcomes, and future perspectives following drainage of pancreatic WON.<br />Competing Interests: Conflict of Interest: None<br /> (Copyright: © Hellenic Society of Gastroenterology.)
Details
- Language :
- English
- ISSN :
- 1108-7471
- Volume :
- 36
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Annals of gastroenterology
- Publication Type :
- Academic Journal
- Accession number :
- 36864934
- Full Text :
- https://doi.org/10.20524/aog.2023.0772