Endoscopic Management of Pancreatic Fluid Collections

J Clin Gastroenterol. 2017 Jan;51(1):19-33. doi: 10.1097/MCG.0000000000000644.

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.

Publication types

  • Review

MeSH terms

  • Cholangiopancreatography, Endoscopic Retrograde / methods
  • Drainage / methods*
  • Endoscopy, Gastrointestinal / instrumentation
  • Endoscopy, Gastrointestinal / methods*
  • Endosonography / methods
  • Gastrointestinal Contents*
  • Gastrostomy / methods
  • Humans
  • Pancreas / metabolism*
  • Pancreas / surgery
  • Pancreatic Diseases / physiopathology
  • Pancreatic Diseases / surgery*
  • Pancreatitis / physiopathology
  • Pancreatitis / surgery
  • Stents
  • Treatment Outcome