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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2021; 12(01): 003-010
DOI: 10.1055/s-0041-1728956
Guidelines

Endoscopic Management of Pancreatic Fluid Collections: Guidelines of Society of Gastrointestinal Endoscopy of India and Indian EUS Club

Authors

  • Rahul Shah

    1   Department of Gastroenterology, Institute of Digestive and Liver Care, SL Raheja Hospital, Mumbai, Maharashtra, India

  • Jahangeer Basha

    2   Department of Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, Telangana, India

  • Surinder Rana

    3   Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India

  • Soumya Jagannath

    4   Department of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India

  • Praveer Rai 

    5   Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute, Lucknow, Uttar Pradesh, India

  • Sudipta Dhar Chowdhury 

    6   Department of Gastroenterology, Christian Medical College, Vellore, Tamil Nadu, India

  • Zubin Dev Sharma

    7   Department of Gastroenterology, Medanta The Medicity, Gurugram, Haryana, India

  • Deepak Gunjan 

    4   Department of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India

  • Saurabh Patle

    7   Department of Gastroenterology, Medanta The Medicity, Gurugram, Haryana, India

  • A Chalapathi Rao 

    8   Department of Gastroenterology, Iconkrishi Institute of Medical Sciences, Vishakhapatnam, Andhra Pradesh, India

  • Prakash Zacharia

    9   Department of Gastroenterology, Lisie Hospital, Kochi, Kerala, India

  • Rajesh Sanjeevi

    6   Department of Gastroenterology, Christian Medical College, Vellore, Tamil Nadu, India

  • Manoj Sahu 

    10   Department of Gastroenterology, Institute of Medical Sciences and Sum Hospital, Bhubaneshwar, Odisha, India

  • Matthew Philip

    9   Department of Gastroenterology, Lisie Hospital, Kochi, Kerala, India

  • Pramod Garg

    4   Department of Gastroenterology, All India Institute of Medical Sciences, New Delhi, India

  • Rajesh Puri

    7   Department of Gastroenterology, Medanta The Medicity, Gurugram, Haryana, India

  • D Nageshwar Reddy

    2   Department of Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, Telangana, India

  • Sundeep Lakhthakia

  • Vinay Dhir

    1   Department of Gastroenterology, Institute of Digestive and Liver Care, SL Raheja Hospital, Mumbai, Maharashtra, India
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Introduction

The endoscopic management of pancreatic fluid collections (PFC) is in flux due to changes in how we classify them, as well as rapid advances in technology. The revised Atlanta classification of PFC[1] clearly distinguished pseudocysts from walled-off necrosis (WON) and acute peri PFC from acute necrotic collections, based upon presence of necrosis, time since the onset of attack of pancreatitis and formation of a mature wall around the fluid collection. The literature prior to this had both, a mix of WON and pseudocyst, usually labeled as pseudocysts.[1] [2] The subsequent publications have clearly demonstrated that the management issues are different for pseudocyst and WON, although clarity still eludes several areas. Another major development has been the application of biflanged metal (BFMS) and lumen apposing metal stents (LAMS) for PFC. Despite a lot of literature available for BFMS and LAMS, controversies still exist about their appropriate role. The Society of Gastrointestinal Endoscopy of India and Indian endoscopic ultrasound (EUS) club developed these guidelines to conduct an updated literature review, and provide recommendations based upon strength of available evidence.[3]



Publication History

Article published online:
17 April 2021

© 2021. Society of Gastrointestinal Endoscopy of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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