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Modern Management of Pancreatic Fluid Collections.

Abstract
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.
AuthorsIman Andalib, Enad Dawod, Michel Kahaleh
JournalJournal of clinical gastroenterology (J Clin Gastroenterol) Vol. 52 Issue 2 Pg. 97-104 (02 2018) ISSN: 1539-2031 [Electronic] United States
PMID29095421 (Publication Type: Journal Article, Review)
Topics
  • Drainage (methods)
  • Endoscopy (methods)
  • Endosonography (methods)
  • Enteral Nutrition (methods)
  • Humans
  • Pancreatic Diseases (pathology, therapy)
  • Pancreatic Ducts (pathology)
  • Pancreatic Pseudocyst (pathology, therapy)
  • Pancreatitis (pathology, therapy)
  • Stents

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