Department of Medicine, Columbia University Irving Medical Center, Weill Cornell Medicine, NewYork-Presbyterian/Brooklyn Methodist Hospital, 515 6th Street, Concourse, Brooklyn, NY 11215, USA; Weill Cornell, 1283 York Avenue, New York, NY 10065, USA; Division of Digestive and Liver Disease, Columbia University Irving Medical Center, 630 West 168th Street, P&S 3-401, New York, NY 10032, USA.
Division of Digestive and Liver Disease, Columbia University Irving Medical Center, 630 West 168th Street, P&S 3-401, New York, NY 10032, USA.
Gastrointest Endosc Clin N Am. 2024 Jul;34(3):553-575. doi: 10.1016/j.giec.2024.02.008. Epub 2024 Apr 8.
Pancreatic fluid collections (PFCs) are commonly encountered complications of acute and chronic pancreatitis. With the advancement of endoscopic ultrasound (EUS) techniques and devices, EUS-directed transmural drainage of symptomatic or infected PFCs has become the standard of care. Traditionally, plastic stents have been used for drainage, although lumen-apposing metal stents (LAMSs) are now favored by most endoscopists due to ease of use and reduced procedure time. While safety has been repeatedly demonstrated, follow-up care for these patients is critical as delayed adverse events of indwelling drains are known to occur.
胰腺液体积聚(PFCs)是急性和慢性胰腺炎常见的并发症。随着内镜超声(EUS)技术和设备的进步,EUS 引导下有症状或感染的 PFCs 的经壁引流已成为标准治疗方法。传统上,塑料支架一直用于引流,尽管由于使用方便和减少了手术时间,现在大多数内镜医生更喜欢使用 lumen-apposing 金属支架(LAMSs)。虽然安全性已经反复得到证实,但这些患者的随访护理至关重要,因为已知留置引流管的迟发不良事件会发生。