Puri R, Thandassery RB, Alfadda AA, Kaabi SA. Endoscopic ultrasound guided drainage of pancreatic fluid collections: Assessment of the procedure, technical details and review of the literature. World J Gastrointest Endosc 2015; 7(4): 354-363 [PMID: 25901214 DOI: 10.4253/wjge.v7.i4.354]
Corresponding Author of This Article
Dr. Ragesh Babu Thandassery, Division of Gastroenterology and Hepatology, Department of Medicine, Hamad Medical Corporation, Doha PO 3050, Qatar. doc.ragesh@gmail.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Review
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Endosc. Apr 16, 2015; 7(4): 354-363 Published online Apr 16, 2015. doi: 10.4253/wjge.v7.i4.354
Endoscopic ultrasound guided drainage of pancreatic fluid collections: Assessment of the procedure, technical details and review of the literature
Rajesh Puri, Ragesh Babu Thandassery, Abdulrahman A Alfadda, Saad Al Kaabi
Rajesh Puri, Institute of Digestive and Hepatobiliary Sciences, Medanta, The Medicity, Gurgaon, NCR Delhi 110092, India
Ragesh Babu Thandassery, Saad Al Kaabi, Division of Gastroenterology and Hepatology, Department of Medicine, Hamad Medical Corporation, Doha PO 3050, Qatar
Abdulrahman A Alfadda, Department of Medicine, King Faisal Specialist Hospital and Research Centre, Riyadh 12713, Saudi Arabia
Author contributions: All the authors equally contributed to the manuscript.
Conflict-of-interest: No potential conflicts of interest relevant to this article were reported.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dr. Ragesh Babu Thandassery, Division of Gastroenterology and Hepatology, Department of Medicine, Hamad Medical Corporation, Doha PO 3050, Qatar. doc.ragesh@gmail.com
Telephone: +974-44-394532
Received: October 1, 2014 Peer-review started: October 1, 2014 First decision: October 14, 2014 Revised: November 25, 2014 Accepted: January 15, 2015 Article in press: January 19, 2015 Published online: April 16, 2015 Processing time: 200 Days and 7.2 Hours
Abstract
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.
Core tip: Endoscopic ultrasound guided drainage has become first line option in the management of pancreatic fluid collections in acute pancreatitis. There are many new stent designs and techniques available that has made the procedure and its outcome more impressive. In this manuscript we present a concise review on this topic.
