Endoscopic management of pancreatic fluid collections-revisited

doi:10.3748/wjg.v23.i15.2660

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Apr 21, 2017 (publication date) through Feb 23, 2026

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World Journal of Gastroenterology

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1007-9327

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World J Gastroenterol. Apr 21, 2017; 23(15): 2660-2672
Published online Apr 21, 2017. doi: 10.3748/wjg.v23.i15.2660

Endoscopic management of pancreatic fluid collections-revisited

Zaheer Nabi, Jahangeer Basha, D Nageshwar Reddy

Zaheer Nabi, Jahangeer Basha, D Nageshwar Reddy, Department of Gastroenterology, Asian Institute of Gastroenterology, Somajiguda 6-3-661, Hyderadad, India

Author contributions: All authors equally contributed to this paper with conception and design of the study, literature review and analysis, drafting and critical revision and editing, and final approval of the final version.

Conflict-of-interest statement: No potential conflicts of interest.

Correspondence to: Dr. D Nageshwar Reddy, Asian Institute of Gastroenterology, Asian Institute of Gastroenterology, Somajiguda 6-3-661, Hyderadad, India. zaheernabi1978@gmail.com

Telephone: +91-40-23378888

Received: January 3, 2017
Peer-review started: January 4, 2017
First decision: February 10, 2017
Revised: February 27, 2017
Accepted: March 21, 2017
Article in press: March 21, 2017
Published online: April 21, 2017
Processing time: 109 Days and 16.3 Hours

Core Tip

Core tip: The management of pancreatic fluid collections has revolutionised over last several decades. New devices and techniques have evolved which have largely obviated the need for surgery in these patients. The differentiation of nature of fluid collections into pseudocyst and walled off necrosis has enabled the endoscopist to plan management strategies. With the introduction of dedicated metal stents, the task of endoscopic necrosectomy has become easier. However, all patients with pancreatic fluid collections cannot be managed in the same way. Therefore, the management of pancreatic fluid collections (PFC) requires multidisciplinary and individualised approach. In this review, we describe the recent advances and controversial issues in the endoscopic management of PFC.