The 1st i-EUS consensus on the management of pancreatic fluid collections - Part 2

被引:0
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作者
Capurso, Gabriele [1 ]
Coluccio, Chiara [2 ]
Rizzo, Giacomo Emanuele Maria [3 ,4 ]
Crino, Stefano Francesco [5 ]
Cucchetti, Alessandro [6 ]
Facciorusso, Antonio [7 ]
Hassan, Cesare [8 ,9 ]
Amato, Arnaldo [10 ]
Auriemma, Francesco [11 ]
Bertanil, Helga [12 ]
Binda, Cecilia [2 ]
Cipolletta, Fabio [13 ]
Fortin, Edoardo [14 ]
Fugazza, Alessandro [9 ]
Lisotti, Andrea [15 ]
Maida, Marcello [16 ]
Sinagra, Emanuele [17 ]
Sbrancia, Monica [2 ]
Spadaccini, Marco [8 ]
Tacelli, Matteo [18 ]
Vanella, Giuseppe [18 ]
Anderloni, Andrea [19 ]
Fabbri, Carlo [2 ]
Tarantino, Ilaria [3 ]
机构
[1] Ist Sci San Raffaele, Pancreat Biliary Endoscopy & Endosonog Div, Pancreas Translat & Clin Res Ctr, Milan, Italy
[2] AUSL Romagna, Forli Cesena Hosp, Gastroenterol & Digest Endoscopy Unit, Forli Cesena, Italy
[3] IRCCS, Dept Diagnost & Therapeut Serv, Endoscopy Serv, ISMETT, Palermo, Italy
[4] Univ Palermo, Dept Precis Med Med Surg & Cit Care Me Pre CC, Palermo, Italy
[5] GB Rossi Univ Hosp, Pancreas Inst, Diagnost & Intervent Endoscopy Pancreas, I-37134 Verona, Italy
[6] Alma Mater Studiorum Univ Bologna, Dept Med & Surg Sci DIMEC, Bologna, Italy
[7] Univ Foggia, Dept Med Sci, Gastroenterol Unit, Foggia, Italy
[8] Humanitas Univ, Dept Biomed Sci, Pieve Emanuele, Italy
[9] IRCCS, Human Res Hosp, Div Gastroenterol & Digest Endoscopy, Milan, Italy
[10] ASST Lecco, Digest Endoscopy & Gastroenterol Dept, Lecce, Italy
[11] Human Mater Domini, Gastrointestinal Endoscopy Unit, I-21100 Castellanza, Italy
[12] Azienda Osped Univ Policlin Modena, Gastroenterol Endoscopia Digestiva, Modena, Italy
[13] Osped Mare, ASL Ctr NA1, Dept Gastroenterol, Naples, Italy
[14] ASST Niguarda, Niguarda Hosp, Milan, Italy
[15] Univ Bologna, Hosp Imola, Gastroenterol Unit, Imola, Italy
[16] Univ Enna Kore, Umberto Hosp 1, Dept Med & Surg, Gastroenterol Unit, Enna, Italy
[17] Fdn Ist G Giglio, Gastroenterol & Endoscopy Unit, Cefalu, Italy
[18] IRCCS, Pancreato Biliary Endoscopy & EUS Div, San Raffaele Sci Inst, Milan, Italy
[19] IRCCS Fdn Policlin San Matteo, Gastroenterol & Digest Endoscopy Unit, Pavia, Italy
关键词
Pancreatic fluid collections; Walled-off necrosis; Pseudocysts; LAMS; Endoscopy; EUS; Consensus; guidelines; EARLY ENTERAL NUTRITION; STEP-UP APPROACH; PARENTERAL-NUTRITION; NECROTIZING PANCREATITIS; ENDOSCOPIC NECROSECTOMY; NASOJEJUNAL TUBE; METAANALYSIS; MULTICENTER; MODERATE; OUTCOMES;
D O I
10.1016/j.dld.2024.06.004
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Pancreatic fluid collections (PFCs), including pancreatic pseudocysts (PPs) and walled-off pancreatic necrosis (WON), are common complications of pancreatitis and pancreatic surgery. Historically, the treatment of these conditions has relied on surgical and radiological approaches. The treatment of patients with PFCs has already focused toward an endoscopy-based approach, and with the development of dedicated lumen-apposing metal stents (LAMS), it has almost totally shifted towards interventional Endoscopic Ultrasound (EUS)-guided procedures. However, there is still limited consensus on several aspects of PFCs treatment within the multidisciplinary management. The interventional endoscopy and ultrasound (i-EUS) group is an Italian network of clinicians and scientists with special interest in biliopancreatic interventional endoscopy, especially interventional EUS. This manuscript focuses on the second part of the results of a consensus conference organized by i-EUS, with the aim of providing evidence-based guidance on several intra- and post-procedural aspects of PFCs drainage, such as clinical management and follow-up. (c) 2024 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights are reserved, including those for text and data mining, AI training, and similar technologies.
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页码:1819 / 1827
页数:9
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