Modern Management of Pancreatic Fluid Collections.

Iman Andalib, Enad Dawod, Michel Kahaleh

Journal: Journal of clinical gastroenterology 2019;52(2):97-104

PMID: 29095421

Abstract

The last decade has seen dramatic shift in paradigm in the management of pancreatic fluid collections with the rise of endoscopic therapy over radiologic or surgical management. Endosonographic drainage is now considered the gold standard therapy for pancreatic pseudocyst. Infected pancreatic necroses are being offered endoscopic necrosectomy that has been facilitated by the arrival on the market of large diameter lumen-apposing metal stent. Severe pancreatitis or failure to thrive should receive enteral nutrition while pancreatic ductal disruption or strictures are best treated by pancreatic stenting.

Address: Department of Gastroenterology and Hepatology, Weill Cornell Medical College, New York, NY.

DOI: 10.1097/MCG.0000000000000940

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MeSH Terms: Drainage, Endoscopy, Endosonography, Enteral Nutrition, Humans, Pancreatic Diseases, Pancreatic Ducts, Pancreatic Pseudocyst, Pancreatitis, Stents