Bansal A, Gupta P, Singh AK, Shah J, Samanta J, Mandavdhare HS, Sharma V, Sinha SK, Dutta U, Sandhu MS, Kochhar R. Drainage of pancreatic fluid collections in acute pancreatitis: A comprehensive overview. World J Clin Cases 2022; 10(20): 6769-6783 [PMID: 36051118 DOI: 10.12998/wjcc.v10.i20.6769]
Corresponding Author of This Article
Pankaj Gupta, MBBS, MD, Associate Professor, Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh 160012, India. pankajgupta959@gmail.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Minireviews
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/
Akash Bansal, Pankaj Gupta, Manavjit Singh Sandhu, Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India
Anupam K Singh, Jimil Shah, Jayanta Samanta, Harshal S Mandavdhare, Vishal Sharma, Saroj Kant Sinha, Usha Dutta, Rakesh Kochhar, Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India
Author contributions: Bansal A and Gupta P acquired the data, designed the outline of the paper, performed the writing, and did the major revisions; Singh AK, Shah J, Samanta J, Mandavdhare HS, Sharma V, Sinha SK, Dutta U, Sandhu MS, and Kochhar R contributed to data acquisition as well as to writing; all authors have read and approved the final manuscript.
Conflict-of-interest statement: There is no conflict of interest associated with any of the senior author or other coauthors contributed their efforts in this manuscript.
Open-Access: This article is an open-access article that 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: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Pankaj Gupta, MBBS, MD, Associate Professor, Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research, Sector 12, Chandigarh 160012, India. pankajgupta959@gmail.com
Received: October 26, 2021 Peer-review started: October 26, 2021 First decision: December 27, 2021 Revised: January 10, 2022 Accepted: May 13, 2022 Article in press: May 13, 2022 Published online: July 16, 2022 Processing time: 251 Days and 13.2 Hours
Abstract
Moderately severe and severe acute pancreatitis is characterized by local and systemic complications. Systemic complications predominate the early phase of acute pancreatitis while local complications are important in the late phase of the disease. Necrotic fluid collections represent the most important local complication. Drainage of these collections is indicated in the setting of infection, persistent or new onset organ failure, compressive or pressure symptoms, and intraabdominal hypertension. Percutaneous, endoscopic, and minimally invasive surgical drainage represents the various methods of drainage with each having its own advantages and disadvantages. These methods are often complementary. In this minireview, we discuss the indications, timing, and techniques of drainage of pancreatic fluid collections with focus on percutaneous catheter drainage. We also discuss the novel methods and techniques to improve the outcomes of percutaneous catheter drainage.
Core Tip: Percutaneous catheter drainage is an important method for drainage of pancreatic fluid collections. In the early stage of the disease (2-4 wk), it is often the method of choice. It is shown to be effective alone in almost 50% of the patients. It is also an important part of the dual modality treatment that involves endoscopic drainage. It acts as a gateway for percutaneous endoscopic and minimally invasive surgical necrosectomy. There is evolving data regarding the indications and timing of drainage. Additionally, there are several recent studies describing methods to improve the percutaneous catheter drainage outcomes.
