Abstract
Fluid collections around the pancreas occur as a sequel to an attack of acute pancreatitis, or less often secondary to ductal obstruction in chronic pancreatitis. Not all fluid collections around the pancreas are called pseudocysts (PPC’s). A PPC is a well demarcated collection of fluid rich in pancreatic enzymes and having a well defined wall of fibrous or granulation tissue [1]. Formation of a PPC requires at least 4 weeks from the onset of pancreatitis. Before 4 weeks, it is called a pancreatic fluid collection (PFC). PPC’s are usually sterile. In presence of pus, they are called pancreatic abscess. Some amount of solid debris is often found in the floor of a PPC, even without active infection [1].
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References
Bradley EL III, Clements JL (1993) A clinically based classification system for acute pancreatitis. Arch Surg 128:586–590
Baron TH, Harewood GC, Morgan DE, Yates MR (2002) Outcome differences after endoscopic drainage of pancreatic necrosis, acute pancreatic pseudocysts, and chronic pancreatic pseudocysts. Gastrointest Endosc 56:7–17. doi:10.1067/mge.2002.125106
Kozarek RA, Brayko CM, Harlan J et al (1985) Endoscopic drainage of pancreatic pseudocysts. Gastrointest Endosc 31(5):322–327
Hershfield NB (1984) Drainage of a pancreatic pseudocyst at ERCP. Gastrointest Endosc 30(4):269–270
Park DH, Lee SS, Moon SH et al (2009) Endoscopic ultrasound-guided versus conventional transmural drainage for pancreatic pseudocysts: a prospective randomized trial. Endoscopy 41(10):842–848. doi:10.1055/s-0029-1215133
Galasso D, Voermans RP, Fockens P (2009) Role of endosonography in drainage of fluid collections and other NOTES procedures. Best Pract Res Clin Gastroenterol 23(5):781–789. doi:S1521-6918(09)00099-7 [pii] 10.1016/j.bpg.2009.06.009
Varadarajulu S, Christein JD, Tamhane A et al (2008) Prospective randomized trial comparing EUS and EGD for transmural drainage of pancreatic pseudocysts (with videos). Gastrointest Endosc 68(6):1102–1111. doi:S0016-5107(08)01773-2 [pii] 10.1016/j.gie.2008.04.028
Barthet M, Lamblin G, Gasmi M et al (2008) Clinical usefulness of a treatment algorithm for pancreatic pseudocysts. Gastrointest Endosc 67(2):245–252. doi:S0016-5107(07)02114-1 [pii] 10.1016/j.gie.2007.06.014
Catalano MF, George S, Thomas M et al (2004) EUS-guided pancreatic pseudocyst drainage: comparison with standard endoscopic cystenterostomy. Gastrointest Endosc 59:AB202
Seewald S, Groth S, Omar S et al (2005) Aggressive endoscopic therapy for pancreatic necrosis and pancreatic abscess: a new safe and effective treatment algorithm (videos). Gastrointest Endosc 62(1):92–100. doi:S0016510705005419 [pii]
Seifert H, Wehrmann T, Schmitt T et al (2000) Retroperitoneal endoscopic debridement for infected peripancreatic necrosis. Lancet 356(9230):653–655. doi:S0140-6736(00)02611-8 [pii] 10.1016/S0140-6736(00)02611-8
Seewald S, Ang TL, Teng KC et al (2009) EUS-guided drainage of pancreatic pseudocysts, abscesses and infected necrosis. Dig Endosc 21(Suppl 1):S61–S65. doi: DEN860 [pii] 10.1111/j.1443-1661.2009.00860.x
Trevino JM, Christein JD, Varadarajulu S (2009) EUS-guided transesophageal drainage of peripancreatic fluid collections. Gastrointest Endosc 70(4):793–797. doi:S0016-5107(09)01925-7 [pii] 10.1016/j.gie.2009.05.023
Hawes RH (2003) Endoscopic management of pseudocysts. Rev Gastroenterol Disord 3(3):135–141
Seifert H, Dietrich CF (2006) Pancreatic interventions. In: Dietrich CF (ed) Endoscopic ultrasound an introductory manual and atlas, vol 1, 1st edn. Thieme, Stuttgart, pp 230–250
Seewald S, Thonke F, Ang TL et al (2006) One-step, simultaneous double-wire technique facilitates pancreatic pseudocyst and abscess drainage (with videos). Gastrointest Endosc 64(5):805–808. doi:S0016-5107(06)02554-5 [pii] 10.1016/j.gie.2006.07.049
Trevino JM, Tamhane A, Varadarajulu S (2010) Successful stenting in ductal disruption favorably impacts treatment outcomes in patients undergoing transmural drainage of peripancreatic fluid collections. J Gastroenterol Hepatol 25(3):526–531. doi:JGH6109 [pii] 10.1111/j.1440-1746.2009.06109.x
Varadarajulu S, Lopes TL, Wilcox CM et al (2008) EUS versus surgical cyst-gastrostomy for management of pancreatic pseudocysts. Gastrointest Endosc 68(4):649–655. doi:S0016-5107(08)00289-7 [pii] 10.1016/j.gie.2008.02.057
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Bapaye, A., Aher, A. (2012). EUS Guided Drainage of Pancreatic Pseudocysts (PPC’s), Abscesses and Fluid Collections (PFC’s). In: Akahoshi, K., Bapaye, A. (eds) Practical Handbook of Endoscopic Ultrasonography. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54014-4_18
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DOI: https://doi.org/10.1007/978-4-431-54014-4_18
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