Endoscopic therapy of necrotizing pancreatitis and pseudocysts.
Endoscopic therapy has become an essential component in the management of postpancreatitis complications, such as infected and/or symptomatic pancreatic pseudocysts and walled-off necrosis. However, although there have been 2 recent randomized, controlled trials performed, a general lack of comparative effectiveness data regarding the timing, indications, and outcomes of these procedures has been a barrier to the development of practice standards for therapeutic endoscopists managing these issues. This article reviews the available data and expert consensus regarding indications for endoscopic intervention, timing of procedures, endoscopic technique, periprocedural considerations, and complications.
Division of Gastroenterology, Department of Medicine, University of Washington, 1959 Northeast Pacific Street, Box 356424, Seattle, WA 98195, USA.
Jessica M
JM
Fisher
Timothy B
TB
Gardner
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003646:Debridement; D004322:Drainage; D016145:Endoscopy, Digestive System / Q000009:adverse effects / Q000379:methods*; D019160:Endosonography; D006801:Humans; D010192:Pancreatic Pseudocyst / Q000000981:diagnostic imaging / Q000628:therapy*; D019283:Pancreatitis, Acute Necrotizing / Q000000981:diagnostic imaging / Q000628:therapy*; D018579:Patient Selection; D018084:Ultrasonography, Interventional
D000900:Anti-Bacterial Agents
Endoscopic ultrasound; Necrotizing pancreatitis; Pancreatic fluid collection; Pancreatic pseudocyst; Pancreatitis; Therapeutic endoscopy; Walled off necrosis