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Pancreatic Fluid Collection Drainage

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Therapeutic Endoscopic Ultrasound

Abstract

Therapy of pancreatic fluid collections (PFC) has evolved greatly over the past 40 years, partly as a result of increased frequency and quality of imaging studies detecting more previously unidentified collections as well as the evolving endoscopic treatment modalities. In 2012, the Acute Pancreatitis Classification Workgroup revised the Atlanta classification system for acute pancreatitis [1]. With standard classification of pancreatic fluid collections, physicians are better equipped to inform their patients and determine the need and timing for treatment; the importance of which cannot be understated, as intervening in certain cases can cause more harm than benefit. Patients with severe acute pancreatitis alongside those with pancreatic necrosis have a greater incidence of developing clinically relevant PFC compared to those with edematous pancreatitis. The aim of this chapter will be to review the indications for intervention of pancreatic fluid collections and details the most up-to-date endoscopic techniques of treatment.

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Author information

Authors and Affiliations

  1. Loma Linda University School of Medicine, Loma Linda, CA, USA

    Ali A. Siddiqui

  2. UC Merced, Merced, CA, USA

    Shayan Moraveji

  3. Stanford University, Palo Alto, CA, USA

    Sharareh Moraveji

  4. UF Health Science Center, Gainesville, FL, USA

    Sandeep Anthony Ponniah

Authors
  1. Ali A. Siddiqui
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  2. Shayan Moraveji
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  3. Sharareh Moraveji
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  4. Sandeep Anthony Ponniah
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Editor information

Editors and Affiliations

  1. Endoscopy Unit, Copenhagen University Hospital, University of Copenhagen, Herlev, Denmark

    Evangelos Kalaitzakis

  2. Endoscopy Unit, Copenhagen University Hospital, University of Copenhagen, Herlev, Denmark

    Peter Vilmann

  3. Gastroenterology, Hepatology & Nutrition, The University of Texas MD Anderson Cancer, Houston, TX, USA

    Manoop S. Bhutani

Electronic Supplementary Material

Drainage of a pancreatic walled off necrosis using a fully covered self expanding metal stent (courtesy Dr. Khanh Do-Cong Pham) (MP4 20079 kb)

Drainage of a pancreatic walled off necrosis using an AXIOS lumen apposing metal stent (courtesy Dr. Ioannis Karoumpalis) (MP4 34565 kb)

Performance of a direct-endoscopic necrosectomy through the AXIOS lumen apposing metal stent (courtesy Dr. Khanh Do-Cong Pham) (MP4 55054 kb)

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Siddiqui, A.A., Moraveji, S., Moraveji, S., Ponniah, S.A. (2020). Pancreatic Fluid Collection Drainage. In: Kalaitzakis, E., Vilmann, P., Bhutani, M. (eds) Therapeutic Endoscopic Ultrasound. Springer, Cham. https://doi.org/10.1007/978-3-030-28964-5_5

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  • DOI: https://doi.org/10.1007/978-3-030-28964-5_5

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