Journal
JOURNAL OF CLINICAL GASTROENTEROLOGY
Volume 52, Issue 2, Pages 97-104Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/MCG.0000000000000940
Keywords
pseudocyst; pancreatic necrosis; pancreatic fluid collection; endoscopic necrosectomy; lumen-apposing metal stent
Categories
Funding
- Boston Scientific
- Olympus
- Xlumena Inc.
- Gore
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The last decade has seen dramatic shift in paradigm in the management of pancreatic fluid collections with the rise of endoscopic therapy over radiologic or surgical management. Endosonographic drainage is now considered the gold standard therapy for pancreatic pseudocyst. Infected pancreatic necroses are being offered endoscopic necrosectomy that has been facilitated by the arrival on the market of large diameter lumen-apposing metal stent. Severe pancreatitis or failure to thrive should receive enteral nutrition while pancreatic ductal disruption or strictures are best treated by pancreatic stenting.
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