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Endoscopic Management of Pancreatic Fluid Collections
Thiruvengadam Muniraj1, Priya A Jamidar, William H Nealon
1*Section of Digestive Disease †Division of General Surgery, Yale University School of Medicine, New Haven, CT.
Abstract:
Pancreatic fluid collections (PFCs) may develop due to inflammation secondary to acute and/or chronic pancreatitis, trauma, surgery, or obstruction from solid or cystic neoplasms. PFCs can be drained percutaneously, surgically, or endoscopically with endoscopic ultrasound-guided cyst gastrostomy and/or transpapillary drainage through endoscopic retrograde cholangiopancreatography. There has been a paradigm shift in the endoscopic management of PFCs in the past few years with newer techniques including utilization of self-expanding metal stents and multiport devices. This review is a comprehensive update on the classification of PFC, indications for drainage, optimal approach, and techniques.
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