Vilmann AS, Menachery J, Tang SJ, Srinivasan I, Vilmann P. Endosonography guided management of pancreatic fluid collections. World J Gastroenterol 2015; 21(41): 11842-11853 [PMID: 26557008 DOI: 10.3748/wjg.v21.i41.11842]
Corresponding Author of This Article
Andreas S Vilmann, MD, Department of Surgical Gastroenterology, Copenhagen University Hospital Herlev, Herlev Ringvej 75, 2730 Herlev, Denmark. andreas.vilmann@gmail.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Nov 7, 2015; 21(41): 11842-11853 Published online Nov 7, 2015. doi: 10.3748/wjg.v21.i41.11842
Endosonography guided management of pancreatic fluid collections
Andreas S Vilmann, John Menachery, Shou-Jiang Tang, Indu Srinivasan, Peter Vilmann
Andreas S Vilmann, Peter Vilmann, Department of Surgical Gastroenterology, Copenhagen University Hospital Herlev, 2730 Herlev, Denmark
John Menachery, Department of Gastroenterology, Rajagiri Hospital Aluva, Kerala 683112, India
Shou-Jiang Tang, Indu Srinivasan, Division of Digestive Diseases, Department of Medicine, University of Mississippi Medical Center, Jackson, MS 39216, United States
Author contributions: All authors were involved in the design and conduct of this work; Menachery J and Tang SJ performed the research; Vilmann AS and Menachery J drafted the article; all authors contributed equally to revising the manuscript and approving the final version.
Conflict-of-interest statement: Vilmann AS, Menarchy J, Srinivasan I and Tang SJ have no potential conflicts of interest. Vilmann P reported a conflict as a consultant for MediGlobe, GmbH, Grassau, Germany.
Correspondence to: Andreas S Vilmann, MD, Department of Surgical Gastroenterology, Copenhagen University Hospital Herlev, Herlev Ringvej 75, 2730 Herlev, Denmark. andreas.vilmann@gmail.com
Telephone: +45-51-365185
Received: April 28, 2015 Peer-review started: May 6, 2015 First decision: June 2, 2015 Revised: June 24, 2015 Accepted: September 2, 2015 Article in press: September 2, 2015 Published online: November 7, 2015 Processing time: 189 Days and 10.7 Hours
Core Tip
Core tip: The revised Atlanta classification of acute pancreatitis was approved by international consensus, and is based on actual local and systemic determinants of disease severity. Local complications of pancreatitis can include acute peri-pancreatic fluid collection, acute necrotic collection, pseudocyst formation, and walled-off necrosis. Interventional endoscopic ultrasound (EUS) has been increasingly utilized in managing pancreatitis. This review describes the utility, efficacy, and risks associated with using therapeutic EUS and involved EUS devices to manage acute pancreatitis. The authors propose an algorithm for use in managing pancreatic fluid collections based on their size, location, associated symptoms, internal echogenic patterns, and content.
