Endoscopic management of pancreatic walled-off necrosis

Pancreatic walled-off necrosis (WON) is a complication of severe pancreatitis. Endoscopic transmural drainage has been recognized as the first-line treatment for pancreatic fluid collections. Endoscopy offers a minimally invasive approach when compared to surgical drainage. Today, endoscopists may c...

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Bibliographic Details
Published in:Annals of gastroenterology 2023-03, Vol.36 (2), p.123-131
Main Authors: Ramai, Daryl, Morgan, Amanda D, Gkolfakis, Paraskevas, Facciorusso, Antonio, Chandan, Saurabh, Papaefthymiou, Apostolis, Morris, John, Arvanitakis, Marianna, Adler, Douglas G
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Language:English
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Summary:Pancreatic walled-off necrosis (WON) is a complication of severe pancreatitis. Endoscopic transmural drainage has been recognized as the first-line treatment for pancreatic fluid collections. Endoscopy offers a minimally invasive approach when compared to surgical drainage. Today, endoscopists may choose to use self-expanding metal stents, pigtail stents, or lumen-apposing metal stents to facilitate drainage of fluid collections. Current data suggest that all 3 approaches yield similar outcomes. It was previously thought that drainage should be performed 4 weeks from the initial event of pancreatitis, theoretically allowing the capsule to mature. However, current data show that both early (
ISSN:1108-7471
1792-7463
1792-7463
DOI:10.20524/aog.2023.0772