Korean J Gastroenterol.  2018 Sep;72(3):97-103. 10.4166/kjg.2018.72.3.97.

Treatment of Pancreatic Fluid Collections

• Yoon SB
• Chang JH
• Lee IS

• KMID: 2420746
• DOI: http://doi.org/10.4166/kjg.2018.72.3.97

Abstract

Pancreatic Fluid Collection (PFC) develops as a result of acute pancreatitis, chronic pancreatitis, trauma, and postoperation. Although percutaneous drainage, surgery and Endoscopic Retrograde Panceatogram are used as conventional treatments in complicated PFC, the clinical course of PFC is unsatisfactory due to its clinical success rate and the risk of procedure-related complications. Endoscopic ultrasonography-guided transmural drainage of PFC is a safe and effective modality for the management of PFC, particularly in patients with pancreas necrosis. A range of techniques and stents have been introduced and a newly designed metal stent is now available.

Keyword

Pancreatic pseudocyst; Necrosis; Endosonography; Pancreatitis

MeSH Terms

Drainage
Endosonography
Humans
Necrosis
Pancreas
Pancreatic Pseudocyst
Pancreatitis
Pancreatitis, Chronic
Stents

Figure

• 

  Fig. 1. Display of different types of drain tubes. (A) Plastic Stent (Cook Medical, Bloomington, IN, USA), (B) Solus stent (Cook Medical), (C) Axios stent (Boston Scientific, Marlborough, MA, USA), (D) Spaxus stent (Taewoong Medical, Gimpo, Korea), (E) Nagi stent (Taewoong Medical).

• 

  Fig. 2. Procedure of EUS-guided pseudocyst drainage. (A) Infected cyst found at tail, the cyst wall protruded at the posterior side of the stomach on gastroscopy (B) and EUS (C). Transmural puncture was done under EUS-guided technique (D-F), the guidewire was introduced into the cyst (G, H) and then balloon dilatation of the cystic wall was performed (I, J), finally 2 double pigtail plastic stents were inserted (K, L). EUS, endoscopic ultrasonography.

Reference

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