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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...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Baishideng Publishing Group Inc
2020
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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. |
format | Online Article Text |
id | pubmed-7723666 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
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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