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Role of pancreatography in the endoscopic management of encapsulated pancreatic collections – review and new proposed classification

Pancreatic fluids collections are local complications related to acute or chronic pancreatitis and may require intervention when symptomatic and/or complicated. Within the last decade, endoscopic management of these collections via endoscopic ultrasound-guided transmural drainage has become the gold...

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Autores principales: Proença, Igor Mendonça, dos Santos, Marcos Eduardo Lera, de Moura, Diogo Turiani Hourneaux, Ribeiro, Igor Braga, Matuguma, Sergio Eiji, Cheng, Spencer, McCarty, Thomas R, do Monte Junior, Epifanio Silvino, Sakai, Paulo, de Moura, Eduardo Guimarães Hourneaux
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7723666/
https://www.ncbi.nlm.nih.gov/pubmed/33362371
http://dx.doi.org/10.3748/wjg.v26.i45.7104
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author Proença, Igor Mendonça
dos Santos, Marcos Eduardo Lera
de Moura, Diogo Turiani Hourneaux
Ribeiro, Igor Braga
Matuguma, Sergio Eiji
Cheng, Spencer
McCarty, Thomas R
do Monte Junior, Epifanio Silvino
Sakai, Paulo
de Moura, Eduardo Guimarães Hourneaux
author_facet Proença, Igor Mendonça
dos Santos, Marcos Eduardo Lera
de Moura, Diogo Turiani Hourneaux
Ribeiro, Igor Braga
Matuguma, Sergio Eiji
Cheng, Spencer
McCarty, Thomas R
do Monte Junior, Epifanio Silvino
Sakai, Paulo
de Moura, Eduardo Guimarães Hourneaux
author_sort Proença, Igor Mendonça
collection PubMed
description Pancreatic fluids collections are local complications related to acute or chronic pancreatitis and may require intervention when symptomatic and/or complicated. Within the last decade, endoscopic management of these collections via endoscopic ultrasound-guided transmural drainage has become the gold standard treatment for encapsulated pancreatic collections with high clinical success and lower morbidity compared to traditional surgery and percutaneous drainage. Proper understanding of anatomic landmarks, including assessment of the main pancreatic duct and any associated lesions – such as disruptions and strictures – are key to achieving clinical success, reducing the need for reintervention or recurrence, especially in cases with suspected disconnected pancreatic duct syndrome. Additionally, proper review of imaging and anatomic landmarks, including collection location, are pivotal to determine type and size of pancreatic stenting as well as approach using long-term transmural indwelling plastic stents. Pancreatography to adequately assess the main pancreatic duct may be performed by two methods: Either non-invasively using magnetic resonance cholangiopancreatography or endoscopically via retrograde cholangiopan-creatography. Despite the critical need to understand anatomy via pancrea-tography and assess the main pancreatic duct, a standardized approach or uniform assessment strategy has not been described in the literature. Therefore, the aim of this review was to clarify the role of pancreatography in the endoscopic management of encapsulated pancreatic collections and to propose a new classification system to aid in proper assessment and endoscopic treatment.
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spelling pubmed-77236662020-12-24 Role of pancreatography in the endoscopic management of encapsulated pancreatic collections – review and new proposed classification Proença, Igor Mendonça dos Santos, Marcos Eduardo Lera de Moura, Diogo Turiani Hourneaux Ribeiro, Igor Braga Matuguma, Sergio Eiji Cheng, Spencer McCarty, Thomas R do Monte Junior, Epifanio Silvino Sakai, Paulo de Moura, Eduardo Guimarães Hourneaux World J Gastroenterol Minireviews Pancreatic fluids collections are local complications related to acute or chronic pancreatitis and may require intervention when symptomatic and/or complicated. Within the last decade, endoscopic management of these collections via endoscopic ultrasound-guided transmural drainage has become the gold standard treatment for encapsulated pancreatic collections with high clinical success and lower morbidity compared to traditional surgery and percutaneous drainage. Proper understanding of anatomic landmarks, including assessment of the main pancreatic duct and any associated lesions – such as disruptions and strictures – are key to achieving clinical success, reducing the need for reintervention or recurrence, especially in cases with suspected disconnected pancreatic duct syndrome. Additionally, proper review of imaging and anatomic landmarks, including collection location, are pivotal to determine type and size of pancreatic stenting as well as approach using long-term transmural indwelling plastic stents. Pancreatography to adequately assess the main pancreatic duct may be performed by two methods: Either non-invasively using magnetic resonance cholangiopancreatography or endoscopically via retrograde cholangiopan-creatography. Despite the critical need to understand anatomy via pancrea-tography and assess the main pancreatic duct, a standardized approach or uniform assessment strategy has not been described in the literature. Therefore, the aim of this review was to clarify the role of pancreatography in the endoscopic management of encapsulated pancreatic collections and to propose a new classification system to aid in proper assessment and endoscopic treatment. Baishideng Publishing Group Inc 2020-12-07 2020-12-07 /pmc/articles/PMC7723666/ /pubmed/33362371 http://dx.doi.org/10.3748/wjg.v26.i45.7104 Text en ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved. http://creativecommons.org/licenses/by-nc/4.0/ 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.
spellingShingle Minireviews
Proença, Igor Mendonça
dos Santos, Marcos Eduardo Lera
de Moura, Diogo Turiani Hourneaux
Ribeiro, Igor Braga
Matuguma, Sergio Eiji
Cheng, Spencer
McCarty, Thomas R
do Monte Junior, Epifanio Silvino
Sakai, Paulo
de Moura, Eduardo Guimarães Hourneaux
Role of pancreatography in the endoscopic management of encapsulated pancreatic collections – review and new proposed classification
title Role of pancreatography in the endoscopic management of encapsulated pancreatic collections – review and new proposed classification
title_full Role of pancreatography in the endoscopic management of encapsulated pancreatic collections – review and new proposed classification
title_fullStr Role of pancreatography in the endoscopic management of encapsulated pancreatic collections – review and new proposed classification
title_full_unstemmed Role of pancreatography in the endoscopic management of encapsulated pancreatic collections – review and new proposed classification
title_short Role of pancreatography in the endoscopic management of encapsulated pancreatic collections – review and new proposed classification
title_sort role of pancreatography in the endoscopic management of encapsulated pancreatic collections – review and new proposed classification
topic Minireviews
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7723666/
https://www.ncbi.nlm.nih.gov/pubmed/33362371
http://dx.doi.org/10.3748/wjg.v26.i45.7104
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