Gut Liver.  2021 Sep;15(5):677-693. 10.5009/gnl210001.

Clinical Practice Guidelines for the Endoscopic Management of Peripancreatic Fluid Collections

Affiliations
  • 1Division of Gastroenterology, Department of Internal Medicine, Kyung Hee University Hospital, Seoul, Kore.
  • 2Division of Gastroenterology, Department of Internal Medicine, Asan Medical Center, Seoul, Korea.
  • 3Division of Gastroenterology, Department of Internal Medicine, Dongguk University Ilsan Hospital, Goyang, Korea.
  • 4Division of Gastroenterology, Department of Internal Medicine, Inha University Hospital, Incheon, Korea
  • 5Division of Gastroenterology, Department of Internal Medicine, Korea University Anam Hospital, Seoul, Korea.
  • 6Division of Gastroenterology, Department of Internal Medicine, Inje University Ilsan Paik Hospital, Goyang, Korea.
  • 7National Evidence-Based Healthcare Collaborating Agency, Seoul, Korea.
  • 8Division of Gastroenterology, Department of Internal Medicine, The Catholic University of Korea Seoul St. Mary's Hospital, Seoul, Korea.
  • 9Division of Gastroenterology, Department of Internal Medicine, Jeonbuk National University Hospital, Jeonju, Korea.
  • 10Division of Gastroenterology, Department of Internal Medicine, Hanyang University Seoul Hospital, Seoul, Korea.
  • 11Division of Gastroenterology, Department of Internal Medicine, Daegu Catholic University Hospital, Daegu, Korea.
  • 12Division of Gastroenterology, Department of Internal Medicine, Chosun University Hospital, Gwangju, Korea.
  • 13Division of Gastroenterology, Department of Internal Medicine, CHA University Bundang Medical Center, Seongnam, Korea

Abstract

Endoscopic ultrasonography-guided intervention has gradually become a standard treatment for peripancreatic fluid collections (PFCs). However, it is difficult to popularize the procedure in Korea because of restrictions on insurance claims regarding the use of endoscopic accessories, as well as the lack of standardized Korean clinical practice guidelines. The Korean Society of Gastrointestinal Endoscopy appointed a Task Force to develop medical guidelines by referring to the manual for clinical practice guidelines development prepared by the National Evidence-Based Healthcare Collaborating Agency. Previous studies on PFCs were searched, and certain studies were selected with the help of experts. Then, a set of key questions was selected, and treatment guidelines were systematically reviewed. Answers to these questions and recommendations were selected via peer review. This guideline discusses endoscopic management of PFCs and makes recommendations on Indications for the procedure, pre-procedural preparations, optimal approach for drainage, procedural considerations (e.g., types of stent, advantages and disadvantages of plastic and metal stents, and accessories), adverse events of endoscopic intervention, and procedural quality issues. This guideline was reviewed by external experts and suggests best practices recommended based on the evidence available at the time of preparation. This will be revised as necessary to address advances and changes in technology and evidence obtained in clinical practice and future studies.

Keyword

Pancreatitis; acute; Complications; Pseudocyst; Endoscopy; Treatment guidelines
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