Dorrell Robert, Pawa Swati, Pawa Rishi
Department of Medicine, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
Department of Medicine, Section of Gastroenterology, Wake Forest School of Medicine, Winston-Salem, NC 27157, USA.
J Clin Med. 2021 Jan 14;10(2):284. doi: 10.3390/jcm10020284.
Pancreatic fluid collections (PFCs) are a common sequela of pancreatitis. Most PFCs can be managed conservatively, but symptomatic PFCs require either surgical, percutaneous, or endoscopic intervention. Recent advances in the therapeutics of PFCs, including the step-up approach, endoscopic ultrasound-guided transmural drainage with lumen apposing metal stents, and direct endoscopic necrosectomy, have ushered endoscopy to the forefront of PFCs management and have allowed for improved patient outcomes and decreased morbidity. In this review, we explore the progress and future of endoscopic management of PFCs.
胰液积聚(PFCs)是胰腺炎常见的后遗症。大多数PFCs可采用保守治疗,但有症状的PFCs需要手术、经皮或内镜干预。PFCs治疗的最新进展,包括逐步治疗法、内镜超声引导下带膜金属支架经壁引流术和直接内镜坏死组织清除术,已使内镜治疗成为PFCs管理的前沿方法,并改善了患者预后,降低了发病率。在本综述中,我们探讨了PFCs内镜治疗的进展与未来。