Endoscopic management of pancreatic collections. Endoscopic Ultrasound Group, Spanish Society of Digestive Endoscopy (GSEED-USE) Clinical Guidelines

Acute pancreatitis is associated with significant morbidity and mortality. It can develop complications such as fluid collections and necrosis. Infection of necrosis occurs in about 20-40 % of patients with severe acute pancreatitis, and is associated with organ failure and worse prognosis. In the p...

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Bibliographic Details
Authors: Ruiz, MGH, Ibáñez, MTB, Moreno, BM, Ortega, AR, Higuera, CD, García, JI, García, OS, Felgueroso, MM, Castillo, BA, López-Jamar, JME, Ricce, MDL, Teodoro, MTSS, Valverde, EM, López, DM, González, LU, Ribota, SS, Noia, JL, Miranda, MP, Tormo, JRA, Costas, JJV, Sequeiros, EV, Iñigo, JCS, Pérez-Cuadrado-Robles, E, Yagüe, AS, Otero, JAN, Olcina, JRF
Format: article
Status:Published version
Publication Date:2024
Country:España
Institution:Instituto de Investigación Biomédica y Sanitaria de Alicante (ISABIAL)
Repository:r-ISABIAL. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica y Sanitaria de Alicante
OAI Identifier:oai:isabial.fundanetsuite.com:p10136
Online Access:https://isabial.portalinvestigacion.com/publicaciones10136
https://www.reed.es/ArticuloFicha.aspx?id=13690&hst=0&idR=135&tp=1
Access Level:Open access
Keyword:Endoscopic ultrasound
Walled-off pancreatic necrosis
Necrotizing pancreatitis
Endoscopy
Surgery
Minimally invasive
Step-up approach
Pancreatic collections
Description
Summary:Acute pancreatitis is associated with significant morbidity and mortality. It can develop complications such as fluid collections and necrosis. Infection of necrosis occurs in about 20-40 % of patients with severe acute pancreatitis, and is associated with organ failure and worse prognosis. In the past few years the treatment of pancreatic collections has shifted from open surgery to minimally invasive techniques such as endoscopic ultrasound-guided drainage. These guidelines from a selection of experts among the Endoscopic Ultrasound Group, Spanish Society of Gastrointestinal Endoscopy (GSEED-USE) are intended to provide advice on the management of pancreatic collections based on a thorough review of the available scientific evidence. It also reflects the experience and clinical practice of the authors, who are advanced endoscopists or clinical pancreatologists with extensive experience in managing patients with acute pancreatitis.

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