Pancreatico/Biliary Endoscopy & Endosonography Division, Pancreas Translational & Clinical Research Center San Raffaele Scientific Institute, Milan, Italy.
Gastroenterology and Digestive Endoscopy Unit, Forlì-Cesena Hospitals, AUSL Romagna, Forlì-Cesena, Italy.
Dig Liver Dis. 2024 Nov;56(11):1819-1827. doi: 10.1016/j.dld.2024.06.004. Epub 2024 Jul 19.
Pancreatic fluid collections (PFCs), including pancreatic pseudocysts (PPs) and walled-off pancreatic necrosis (WON), are common complications of pancreatitis and pancreatic surgery. Historically, the treatment of these conditions has relied on surgical and radiological approaches. The treatment of patients with PFCs has already focused toward an endoscopy-based approach, and with the development of dedicated lumen-apposing metal stents (LAMS), it has almost totally shifted towards interventional Endoscopic Ultrasound (EUS)-guided procedures. However, there is still limited consensus on several aspects of PFCs treatment within the multidisciplinary management. The interventional endoscopy and ultrasound (i-EUS) group is an Italian network of clinicians and scientists with special interest in biliopancreatic interventional endoscopy, especially interventional EUS. This manuscript focuses on the second part of the results of a consensus conference organized by i-EUS, with the aim of providing evidence-based guidance on several intra- and post-procedural aspects of PFCs drainage, such as clinical management and follow-up.
胰腺液体积聚(PFCs),包括胰腺假性囊肿(PPs)和隔离性胰腺坏死(WON),是胰腺炎和胰腺手术后的常见并发症。历史上,这些疾病的治疗依赖于手术和放射学方法。目前,PFCs 的治疗已经侧重于内镜方法,随着专用的腔内贴合金属支架(LAMS)的发展,几乎完全转向了介入性超声内镜(EUS)引导下的程序。然而,在多学科管理中,PFCs 的治疗仍存在几个方面的有限共识。介入性内镜和超声(i-EUS)小组是一个意大利的临床医生和科学家网络,对胆胰介入性内镜治疗特别感兴趣,尤其是介入性 EUS。本文重点介绍了 i-EUS 组织的共识会议的第二部分结果,旨在提供关于 PFCs 引流的几个术中和术后处理方面的循证指导,例如临床管理和随访。