Endoscopic management of pancreatic collections. Endoscopic Ultrasound Group from the Spanish Society of Digestive Endoscopy (GSEED-USE) Clinical Guidelines.

Autores de IDIVAL

• María Moris Felgueroso

  Autor

  maria.moris@scsalud.es

Autores ajenos al IDIVAL

• González-Haba Ruiz M
• Betés Ibáñez MT
• Martínez Moreno B
• Repiso Ortega A
• de la Serna Higuera C
• Iglesias García J
• Sendino García O
• Agudo Castillo B
• Esteban López-Jamar JM
• Lindo Ricce MD
• Soria San Teodoro MT
• Moya Valverde E
• Muñoz López D
• Uribarri González L
• Sevilla Ribota S
• Lariño Noia J
• Pérez Miranda M
• Aparicio Tormo JR
• Vila Costas JJ
• Vázquez Sequeiros E
• Subtil Íñigo JC
• Pérez-Cuadrado-Robles E
• Sánchez Yagüe A
• Foruny Olcina JR

Abstract

Acute pancreatitis is associated with significant morbidity and mortality. It can develop complications such as fluid collections and necrosis. Infection of necrosis occurs in about 20-40% of patients with severe acute pancreatitis, and is associated with organ failure and worse prognosis. In the past years, the treatment of pancreatic collections has shifted from open surgery to minimally invasive techniques, such as endoscopic ultrasound guided drainage. These guidelines from a selection of experts among the Endoscopic Ultrasound Group from the Spanish Society of Gastrointestinal Endoscopy (GSEED-USE) have the purpose to provide advice on the management of pancreatic collections based on a thorough review of the available scientific evidence. It also reflects the experience and clinical practice of the authors, who are advanced endoscopists or clinical pancreatologists with extensive experience in managing patients with acute pancreatitis.

Keywords

• Endoscopic ultrasound; Walled-off pancreatic necrosis; Necrotizing pancreatitis; Endoscopy; Surgery; Minimally invasive; Step-up approach; Pancreatic collections