Review
Copyright ©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 26, 2018; 6(10): 308-321
Published online Sep 26, 2018. doi: 10.12998/wjcc.v6.i10.308
Algorithm for the multidisciplinary management of hemorrhage in EUS-guided drainage for pancreatic fluid collections
Tian-An Jiang, Li-Ting Xie
Tian-An Jiang, Li-Ting Xie, Department of Ultrasound, the First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, Zhejiang Province, China
Author contributions: All authors equally contributed to this paper with conception and design of the study, literature review and analysis, drafting and critical revision and editing, and final approval of the final version.
Conflict-of-interest statement: No potential conflicts of interest.
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: Tian-An Jiang, MD, PhD, Professor, Surgeon, Department of Ultrasound, the First Affiliated Hospital, College of Medicine, Zhejiang University, Qingchun Road, No. 79, Hangzhou 310003, Zhejiang Province, China. tiananjiang@zju.edu.cn
Received: May 17, 2018
Peer-review started: May 21, 2018
First decision: June 20, 2018
Revised: July 5, 2018
Accepted: July 15, 2018
Article in press: July 16, 2018
Published online: September 26, 2018
Core Tip

Core tip: Currently, endoscopic ultrasound (EUS)-guided drainage has been viewed as the optimal therapy for symptomatic pancreatic fluid collections (PFCs). Bleeding is one of the most dangerous adverse events. However, few studies have addressed the treatment of hemorrhage in the EUS-guided drainage of PFCs. The aim of this review is to describe the etiology, therapy, and prevention of EUS-guided drainage procedure-related bleeding and to present current problems and future perspectives. Moreover, we propose a meaningful and multidisciplinary algorithm for the clinical management of hemorrhagic events in EUS-guided drainage for PFCs.