Year 2024 / Volume 116 / Number 8
Special Article
Endoscopic management of pancreatic collections. Endoscopic Ultrasound Group, Spanish Society of Digestive Endoscopy (GSEED-USE) Clinical Guidelines

423-437

DOI: 10.17235/reed.2024.10276/2024

Mariano González-Haba Ruiz, María Teresa Betés Ibáñez, Belén Martínez Moreno, Alejandro Repiso Ortega, Carlos de la Serna Higuera, Julio Iglesias García, Oriol Sendino García, María Moris Felgueroso, Belén Agudo Castillo, José Miguel Esteban López-Jamar, Mayra Dalila Lindo Ricce, María Teresa Soria San Teodoro, Eloísa Moya Valverde, Diego Muñoz López, Laura Uribarri González, Sergio Sevilla Ribota, José Lariño Noia, Manuel Pérez Miranda, José Ramón Aparicio Tormo, Juan José Vila Costas, Enrique Vázquez Sequeiros, José Carlos Subtil Íñigo, Enrique Pérez-Cuadrado-Robles, Andrés Sánchez Yagüe, Jorge Antonio Núñez Otero, José Ramón Foruny Olcina,

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 few 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, Spanish Society of Gastrointestinal Endoscopy (GSEED-USE) are intended 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.
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References
1. Trikudanathan G, Wolbrink DRJ, van Santvoort HC, Mallery S, Freeman M, Besselink MG. Current Concepts in Severe Acute and Necrotizing Pancreatitis: An Evidence-Based Approach. Gastroenterology. 2019 May;156(7):1994-2007.e3.
2. Harbour R, Miller J. A new system for grading recommendations in evidence based guidelines. BMJ. 2001 Aug 11;323(7308):334–6.
3. Banks PA, Bollen TL, Dervenis C, Gooszen HG, Johnson CD, Sarr MG, et al. Classification of acute pancreatitis—2012: revision of the Atlanta classification and definitions by international consensus. Gut. 2013 Jan;62(1):102–11.
4. Dellinger EP, Forsmark CE, Layer P, Lévy P, Maraví-Poma E, Petrov MS, et al. Determinant-Based Classification of Acute Pancreatitis Severity. Ann Surg. 2012 Dec;256(6):875–80.
5. Guo Q, Li M, Chen Y, Hu W. Determinant-based classification and revision of the Atlanta classification, which one should we choose to categorize acute pancreatitis? Pancreatology. 2015 Jul;15(4):331–6.
6. Nawaz H, Mounzer R, Yadav D, Yabes JG, Slivka A, Whitcomb DC, et al. Revised Atlanta and Determinant-Based Classification: Application in a Prospective Cohort of Acute Pancreatitis Patients. American Journal of Gastroenterology. 2013 Dec;108(12):1911–7.
7. Sternby H, Bolado F, Canaval-Zuleta HJ, Marra-López C, Hernando-Alonso AI, del-Val-Antoñana A, et al. Determinants of Severity in Acute Pancreatitis. Ann Surg. 2019 Aug;270(2):348–55.
8. Petrov MS, Shanbhag S, Chakraborty M, Phillips ARJ, Windsor JA. Organ failure and infection of pancreatic necrosis as determinants of mortality in patients with acute pancreatitis. Gastroenterology. 2010 Sep;139(3):813–20.
9. Sarathi Patra P, Das K, Bhattacharyya A, Ray S, Hembram J, Sanyal S, et al. Natural resolution or intervention for fluid collections in acute severe pancreatitis. British Journal of Surgery. 2014 Nov 12;101(13):1721–8.
10. Manrai M, Kochhar R, Gupta V, Yadav TD, Dhaka N, Kalra N, et al. Outcome of Acute Pancreatic and Peripancreatic Collections Occurring in Patients With Acute Pancreatitis. Ann Surg. 2018 Feb;267(2):357–63.
11. Bakker OJ, van Santvoort H, Besselink MGH, Boermeester MA, van Eijck C, Dejong K, et al. Extrapancreatic necrosis without pancreatic parenchymal necrosis: a separate entity in necrotising pancreatitis? Gut. 2013 Oct;62(10):1475–80.
12. Dhaka N, Sinha SK, Samanta J, Gupta V, Yadav TD, Gulati A, et al. Impact of the site of necrosis on outcome of acute pancreatitis. JGH Open. 2018 Dec;2(6):295–9.
13. van Santvoort HC, Besselink MG, Bakker OJ, Hofker HS, Boermeester MA, Dejong CH, et al. A Step-up Approach or Open Necrosectomy for Necrotizing Pancreatitis. New England Journal of Medicine. 2010 Apr 22;362(16):1491–502.
14. Jagielski M, Smoczyński M, Studniarek M, Adrych K. Spontaneous regression of asymptomatic walled-off pancreatic necrosis. Archives of Medical Science. 2019;15(5):1278–87.
15. Wroński M, Cebulski W, Pawłowski W, Krasnodębski IW, Słodkowski M. Walled-Off Necrosis: Safety of Watchful Waiting. Dig Dis Sci. 2015 Apr 18;60(4):1081–6.
16. Arvanitakis M, Dumonceau JM, Albert J, Badaoui A, Bali MA, Barthet M, et al. Endoscopic management of acute necrotizing pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) evidence-based multidisciplinary guidelines. Endoscopy. 2018 May;50(5):524–46.
17. Muthusamy VR, Chandrasekhara V, Acosta RD, Bruining DH, Chathadi K V., Eloubeidi MA, et al. The role of endoscopy in the diagnosis and treatment of inflammatory pancreatic fluid collections. Gastrointest Endosc. 2016 Mar;83(3):481–8.
18. Dumonceau JM, Delhaye M, Tringali A, Arvanitakis M, Sanchez-Yague A, Vaysse T, et al. Endoscopic treatment of chronic pancreatitis: European Society of Gastrointestinal Endoscopy (ESGE) Guideline – Updated August 2018. Endoscopy. 2019 Feb 17;51(02):179–93.
19. Anis FS, Adiamah A, Lobo DN, Sanyal S. Incidence and treatment of splanchnic vein thrombosis in patients with acute pancreatitis: A systematic review and meta‐analysis. J Gastroenterol Hepatol. 2022 Mar 3;37(3):446–54.
20. Easler J, Muddana V, Furlan A, Dasyam A, Vipperla K, Slivka A, et al. Portosplenomesenteric Venous Thrombosis in Patients With Acute Pancreatitis Is Associated With Pancreatic Necrosis and Usually Has a Benign Course. Clinical Gastroenterology and Hepatology. 2014 May;12(5):854–62.
21. Junare PR, Udgirkar S, Nair S, Debnath P, Jain S, Modi A, et al. Splanchnic Venous Thrombosis in Acute Pancreatitis: Does Anticoagulation Affect Outcome? Gastroenterology Res. 2020;13(1):25–31.
22. van Santvoort HC, Bakker OJ, Bollen TL, Besselink MG, Ahmed Ali U, Schrijver AM, et al. A Conservative and Minimally Invasive Approach to Necrotizing Pancreatitis Improves Outcome. Gastroenterology. 2011 Oct;141(4):1254–63.
23. van Grinsven J, van Brunschot S, van Baal MC, Besselink MG, Fockens P, van Goor H, et al. Natural History of Gas Configurations and Encapsulation in Necrotic Collections During Necrotizing Pancreatitis. Journal of Gastrointestinal Surgery. 2018 Sep 11;22(9):1557–64.
24. Islim F, Salik AE, Bayramoglu S, Guven K, Alis H, Turhan AN. Non-invasive detection of infection in acute pancreatic and acute necrotic collections with diffusion-weighted magnetic resonance imaging: preliminary findings. Abdom Imaging. 2014 Jun 19;39(3):472–81.
25. Borens B, Arvanitakis M, Absil J, El Bouchaibi S, Matos C, Eisendrath P, et al. Added value of diffusion-weighted magnetic resonance imaging for the detection of pancreatic fluid collection infection. Eur Radiol. 2017 Mar 14;27(3):1064–73.
26. van Brunschot S, van Grinsven J, van Santvoort HC, Bakker OJ, Besselink MG, Boermeester MA, et al. Endoscopic or surgical step-up approach for infected necrotising pancreatitis: a multicentre randomised trial. Lancet. 2018 Jan 6;391(10115):51–8.
27. Rana SS, Gupta R. Endoscopic Transluminal Drainage in the Early Phase of Acute Necrotising Pancreatitis. American Journal of Gastroenterology. 2019 Apr;114(4):688–9.
28. Trikudanathan G, Tawfik P, Amateau SK, Munigala S, Arain M, Attam R, et al. Early (4 Weeks) Versus Standard (≥ 4 Weeks) Endoscopically Centered Step-Up Interventions for Necrotizing Pancreatitis. Am J Gastroenterol. 2018 Oct;113(10):1550–8.
29. Ramai D, Enofe I, Deliwala SS, Mozell D, Facciorusso A, Gkolfakis P, et al. Early (4 weeks) versus standard (≥4 weeks) endoscopic drainage of pancreatic walled-off fluid collections: a systematic review and meta-analysis. Gastrointest Endosc. 2023 Mar;97(3):415-421.e5.
30. Boxhoorn L, van Dijk SM, van Grinsven J, Verdonk RC, Boermeester MA, Bollen TL, et al. Immediate versus Postponed Intervention for Infected Necrotizing Pancreatitis. New England Journal of Medicine. 2021 Oct 7;385(15):1372–81.
31. Van Veldhuisen CL, Sissingh NJ, Boxhoorn L, van Dijk SM, van Grinsven J, Verdonk RC, et al. Long-Term Outcome of Immediate Versus Postponed Intervention in Patients With Infected Necrotizing Pancreatitis (POINTER): Multicenter Randomized Trial. Ann Surg. 2023 Jul 17;
32. Rana SS, Chaudhary V, Sharma R, Sharma V, Chhabra P, Bhasin DK. Comparison of abdominal ultrasound, endoscopic ultrasound and magnetic resonance imaging in detection of necrotic debris in walled-off pancreatic necrosis. Gastroenterol Rep (Oxf). 2015 Jan 7;gou088.
33. Kamal A, Singh VK, Akshintala VS, Kawamoto S, Tsai S, Haider M, et al. CT and MRI assessment of symptomatic organized pancreatic fluid collections and pancreatic duct disruption: an interreader variability study using the revised Atlanta classification 2012. Abdom Imaging. 2015 Aug 26;40(6):1608–16.
34. Gillams AR, Kurzawinski T, Lees WR. Diagnosis of Duct Disruption and Assessment of Pancreatic Leak with Dynamic Secretin-Stimulated MR Cholangiopancreatography. American Journal of Roentgenology. 2006 Feb;186(2):499–506.
35. Rana SS, Bhasin DK, Reddy YR, Sharma V, Rao C, Sharma RK, et al. Morphological features of fluid collections on endoscopic ultrasound in acute necrotizing pancreatitis: do they change over time? Ann Gastroenterol. 2014;27(3):258–61.
36. van Baal MC, Bollen TL, Bakker OJ, van Goor H, Boermeester MA, Dejong CH, et al. The role of routine fine-needle aspiration in the diagnosis of infected necrotizing pancreatitis. Surgery. 2014 Mar;155(3):442–8.
37. Leppäniemi A, Tolonen M, Tarasconi A, Segovia-Lohse H, Gamberini E, Kirkpatrick AW, et al. 2019 WSES guidelines for the management of severe acute pancreatitis. World Journal of Emergency Surgery. 2019 Dec 13;14(1):27.
38. Jain S, Mahapatra SJ, Gupta S, Shalimar, Garg PK. Infected Pancreatic Necrosis due to Multidrug-Resistant Organisms and Persistent Organ failure Predict Mortality in Acute Pancreatitis. Clin Transl Gastroenterol. 2018 Oct 5;9(10):190.
39. Lim CLL, Lee W, Liew YX, Tang SSL, Chlebicki MP, Kwa ALH. Role of Antibiotic Prophylaxis in Necrotizing Pancreatitis: A Meta-Analysis. Journal of Gastrointestinal Surgery. 2015 Mar 22;19(3):480–91.
40. Bakker OJ, van Santvoort HC, van Brunschot S, Geskus RB, Besselink MG, Bollen TL, et al. Endoscopic transgastric vs surgical necrosectomy for infected necrotizing pancreatitis: a randomized trial. JAMA. 2012 Mar 14;307(10):1053–61.
41. Bang JY, Arnoletti JP, Holt BA, Sutton B, Hasan MK, Navaneethan U, et al. An Endoscopic Transluminal Approach, Compared With Minimally Invasive Surgery, Reduces Complications and Costs for Patients With Necrotizing Pancreatitis. Gastroenterology. 2019 Mar;156(4):1027-1040.e3.
42. Yasuda I, Nakashima M, Iwai T, Isayama H, Itoi T, Hisai H, et al. Japanese multicenter experience of endoscopic necrosectomy for infected walled-off pancreatic necrosis: The JENIPaN study. Endoscopy. 2013 Aug;45(8):627–34.
43. Saul A, Luna MAR, Chan C, Uscanga L, Andraca FV, Calleros JH, et al. EUS-guided drainage of pancreatic pseudocysts offers similar success and complications compared to surgical treatment but with a lower cost. Surg Endosc. 2016 Apr 3;30(4):1459–65.
44. Varadarajulu S, Lopes TL, Wilcox CM, Drelichman ER, Kilgore ML, Christein JD. EUS versus surgical cyst-gastrostomy for management of pancreatic pseudocysts. Gastrointest Endosc. 2008 Oct;68(4):649–55.
45. Onnekink AM, Boxhoorn L, Timmerhuis HC, Bac ST, Besselink MG, Boermeester MA, et al. Endoscopic Versus Surgical Step-Up Approach for Infected Necrotizing Pancreatitis (ExTENSION): Long-term Follow-up of a Randomized Trial. Gastroenterology. 2022 Sep;163(3):712-722.e14.
46. Varadarajulu S, Christein JD, Tamhane A, Drelichman ER, Wilcox CM. Prospective randomized trial comparing EUS and EGD for transmural drainage of pancreatic pseudocysts (with videos). Gastrointest Endosc. 2008 Dec;68(6):1102–11.
47. Park D, Lee S, Moon SH, Choi S, Jung S, Seo D, et al. Endoscopic ultrasound-guided versus conventional transmural drainage for pancreatic pseudocysts: a prospective randomized trial. Endoscopy. 2009 Oct 1;41(10):842–8.
48. Lang GD, Fritz C, Bhat T, Das KK, Murad FM, Early DS, et al. EUS-guided drainage of peripancreatic fluid collections with lumen-apposing metal stents and plastic double-pigtail stents: comparison of efficacy and adverse event rates. Gastrointest Endosc. 2018 Jan;87(1):150–7.
49. Saunders R, Ramesh J, Cicconi S, Evans J, Yip VS, Raraty M, et al. A systematic review and meta-analysis of metal versus plastic stents for drainage of pancreatic fluid collections: metal stents are advantageous. Surg Endosc. 2019 May 6;33(5):1412–25.
50. Shin HC, Cho CM, Jung MK, Yeo SJ. Comparison of Clinical Outcomes between Plastic Stent and Novel Lumen-apposing Metal Stent for Endoscopic Ultrasound-Guided Drainage of Peripancreatic Fluid Collections. Clin Endosc. 2019 Jul;52(4):353–9.
51. Hammad T, Khan MA, Alastal Y, Lee W, Nawras A, Ismail MK, et al. Efficacy and Safety of Lumen-Apposing Metal Stents in Management of Pancreatic Fluid Collections: Are They Better Than Plastic Stents? A Systematic Review and Meta-Analysis. Dig Dis Sci. 2018 Feb 27;63(2):289–301.
52. Yang J, Chen YI, Friedland S, Holmes I, Paiji C, Law R, et al. Lumen-apposing stents versus plastic stents in the management of pancreatic pseudocysts: a large, comparative, international, multicenter study. Endoscopy. 2019 Nov 7;51(11):1035–43.
53. Chen YI, Barkun AN, Adam V, Bai G, Singh VK, Bukhari M, et al. Cost-effectiveness analysis comparing lumen-apposing metal stents with plastic stents in the management of pancreatic walled-off necrosis. Gastrointest Endosc. 2018 Aug;88(2):267-276.e1.
54. Abu Dayyeh BK, Mukewar S, Majumder S, Zaghlol R, Vargas Valls EJ, Bazerbachi F, et al. Large-caliber metal stents versus plastic stents for the management of pancreatic walled-off necrosis. Gastrointest Endosc. 2018 Jan;87(1):141–9.
55. Law ST, De La SernaHiguera C, Simón PG, Pérez-MirandaCastillo M. Comparison of clinical efficacies and safeties of lumen-apposing metal stent and conventional-type metal stent-assisted EUS-guided pancreatic wall-off necrosis drainage: a real-life experience in a tertiary hospital. Surg Endosc. 2018 May 3;32(5):2448–53.
56. Yao Y, Zhang D, Guo J, Qi K, Li F, Zhu J, et al. A novel self-expanding biflanged metal stent vs tubular metal stent for EUS-guided transmural drainage of pancreatic pseudocyst. Medicine. 2019 Jan;98(3):e14179.
57. Boxhoorn L, Verdonk RC, Besselink MG, Boermeester M, Bollen TL, Bouwense SA, et al. Comparison of lumen-apposing metal stents versus double-pigtail plastic stents for infected necrotising pancreatitis. Gut. 2023 Jan;72(1):66–72.
58. Karstensen JG, Novovic S, Hansen EF, Jensen AB, Jorgensen HL, Lauritsen ML, et al. EUS-guided drainage of large walled-off pancreatic necroses using plastic versus lumen-apposing metal stents: a single-centre randomised controlled trial. Gut. 2023 Jun;72(6):1167–73.
59. Bang JY, Navaneethan U, Hasan MK, Sutton B, Hawes R, Varadarajulu S. Non-superiority of lumen-apposing metal stents over plastic stents for drainage of walled-off necrosis in a randomised trial. Gut. 2019 Jul;68(7):1200–9.
60. Chen YI, Yang J, Friedland S, Holmes I, Law R, Hosmer A, et al. Lumen apposing metal stents are superior to plastic stents in pancreatic walled-off necrosis: a large international multicenter study. Endosc Int Open. 2019 Mar 28;07(03):E347–54.
61. Bapaye A, Dubale NA, Sheth KA, Bapaye J, Ramesh J, Gadhikar H, et al. Endoscopic ultrasonography‐guided transmural drainage of walled‐off pancreatic necrosis: Comparison between a specially designed fully covered bi‐flanged metal stent and multiple plastic stents. Digestive Endoscopy. 2017 Jan 13;29(1):104–10.
62. Kayal A, Taghizadeh N, Ishikawa T, Gonzalez-Moreno E, Bass S, Cole MJ, et al. Endosonography-guided transmural drainage of pancreatic fluid collections: comparative outcomes by stent type. Surg Endosc. 2021 Jun 15;35(6):2698–708.
63. Mohan B, Jayaraj M, Asokkumar R, Shakhatreh M, Pahal P, Ponnada S, et al. Lumen apposing metal stents in drainage of pancreatic walled-off necrosis, are they any better than plastic stents? A systematic review and meta-analysis of studies published since the revised Atlanta classification of pancreatic fluid collections. Endosc Ultrasound. 2019;8(2):82.
64. Zhou X, Lin H, Su X, Zhang P, Fu C, Kong X, et al. Metal Versus Plastic Stents for Pancreatic Fluid Collection Drainage. J Clin Gastroenterol. 2021 Sep;55(8):652–60.
65. Guzmán‐Calderón E, Chacaltana A, Díaz R, Li B, Martinez‐Moreno B, Aparicio JR. Head‐to‐head comparison between endoscopic ultrasound guided lumen apposing metal stent and plastic stents for the treatment of pancreatic fluid collections: A systematic review and meta‐analysis. J Hepatobiliary Pancreat Sci. 2022 Feb 28;29(2):198–211.
66. Bang JY, Wilcox CM, Navaneethan U, Hawes RH, Varadarajulu S. Treatment of walled-off necrosis using lumen-apposing metal stent versus plastic stents: A systematic review and meta-analysis of data from randomized trials. Endoscopy. 2023 Sep 6;
67. Varadarajulu S, Phadnis MA, Christein JD, Wilcox CM. Multiple transluminal gateway technique for EUS-guided drainage of symptomatic walled-off pancreatic necrosis. Gastrointest Endosc. 2011 Jul;74(1):74–80.
68. Bang JY, Varadarajulu S. Management of Hemorrhagic Walled-Off Necrosis Using the Multiple Transluminal Gateway Technique. American Journal of Gastroenterology. 2016 Apr;111(4):457.
69. Mukai S, Itoi T, Sofuni A, Itokawa F, Kurihara T, Tsuchiya T, et al. Expanding endoscopic interventions for pancreatic pseudocyst and walled-off necrosis. J Gastroenterol. 2015 Feb 24;50(2):211–20.
70. Paik WH, Woo SM, Chun JW, Song BJ, Lee WJ, Ahn DW, et al. Efficacy of an internal anchoring plastic stent to prevent migration of a fully covered metal stent in malignant distal biliary strictures: a randomized controlled study. Endoscopy. 2021 Jun 4;53(06):578–85.
71. Emhmed Ali S. Anchoring lumen-apposing metal stent with coaxial plastic stent for endoscopic ultrasound-guided drainage of pancreatic fluid collections: any benefit? Ann Gastroenterol. 2019;
72. Katsinelos P. A fully covered self-expandable metal stent anchored by a 10-Fr double pigtail plastic stent: an effective anti-migration technique. Ann Gastroenterol. 2016;
73. Penn DE, Draganov P V., Wagh MS, Forsmark CE, Gupte AR, Chauhan SS. Prospective evaluation of the use of fully covered self-expanding metal stents for EUS-guided transmural drainage of pancreatic pseudocysts. Gastrointest Endosc. 2012 Sep;76(3):679–84.
74. Aburajab M, Smith Z, Khan A, Dua K. Safety and efficacy of lumen-apposing metal stents with and without simultaneous double-pigtail plastic stents for draining pancreatic pseudocyst. Gastrointest Endosc. 2018 May;87(5):1248–55.
75. Puga M, Consiglieri C, Busquets J, Pallarès N, Secanella L, Peláez N, et al. Safety of lumen-apposing stent with or without coaxial plastic stent for endoscopic ultrasound-guided drainage of pancreatic fluid collections: a retrospective study. Endoscopy. 2018 Oct 28;50(10):1022–6.
76. Beran A, Mohamed MFH, Abdelfattah T, Sarkis Y, Montrose J, Sayeh W, et al. Lumen-Apposing Metal Stent With and Without Concurrent Double-Pigtail Plastic Stent for Pancreatic Fluid Collections: A Comparative Systematic Review and Meta-Analysis. Gastroenterology Res. 2023 Apr;16(2):59–67.
77. Vanek P, Falt P, Vitek P, Zoundjiekpon V, Horinkova M, Zapletalova J, et al. EUS-guided transluminal drainage using lumen-apposing metal stents with or without coaxial plastic stents for treatment of walled-off necrotizing pancreatitis: a prospective bicentric randomized controlled trial. Gastrointest Endosc. 2023 Jun;97(6):1070–80.
78. Consiglieri CF, Gornals JB, Busquets J, Peláez N, Secanella L, De-La-Hera M, et al. Fluoroscopy-assisted vs fluoroless endoscopic ultrasound-guided transmural drainage of pancreatic fluid collections: A comparative study. Gastroenterol Hepatol. 2018 Jan;41(1):12–21.
79. Olaiya B, Mekaroonkamol P, Li BW, Massaad J, Vachaparambil CT, Xu J, et al. Outcomes of a single-step endoscopic ultrasound-guided drainage of pancreatic-fluid collections using an electrocautery-enhanced coaxial lumen-apposing, self-expanding metal stent with and without fluoroscopy. Gastroenterol Rep (Oxf). 2020 Dec 1;8(6):425–30.
80. Seicean A, Stan-Iuga R, Badea R, Tantau M, Mocan T, Seicean R, et al. The safety of endoscopic ultrasonography-guided drainage of pancreatic fluid collections without fluoroscopic control: a single tertiary center experience. J Gastrointestin Liver Dis. 2011 Mar;20(1):39–45.
81. Gornals JB, Consiglieri CF, Busquets J, Salord S, de-la-Hera M, Secanella L, et al. Endoscopic necrosectomy of walled-off pancreatic necrosis using a lumen-apposing metal stent and irrigation technique. Surg Endosc. 2016 Jun 3;30(6):2592–602.
82. Jürgensen C, Neser F, Boese-Landgraf J, Schuppan D, Stölzel U, Fritscher-Ravens A. Endoscopic ultrasound-guided endoscopic necrosectomy of the pancreas: is irrigation necessary? Surg Endosc. 2012 May 15;26(5):1359–63.
83. Lariño-Noia J, de la Iglesia-García D, González-Lopez J, Díaz-Lopez J, Macías-García F, Mejuto R, et al. Endoscopic drainage with local infusion of antibiotics to avoid necrosectomy of infected walled-off necrosis. Surg Endosc. 2021 Feb;35(2):644–51.
84. Werge M, Novovic S, Roug S, Knudsen JD, Feldager E, Gluud LL, et al. Evaluation of local instillation of antibiotics in infected walled-off pancreatic necrosis. Pancreatology. 2018 Sep;18(6):642–6.
85. Thompson CC, Kumar N, Slattery J, Clancy TE, Ryan MB, Ryou M, et al. A standardized method for endoscopic necrosectomy improves complication and mortality rates. Pancreatology. 2016 Jan;16(1):66–72.
86. Mathers B, Moyer M, Mathew A, Dye C, Levenick J, Gusani N, et al. Percutaneous debridement and washout of walled-off abdominal abscess and necrosis using flexible endoscopy: a large single-center experience. Endosc Int Open. 2015 Nov 27;04(01):E102–6.
87. Abdelhafez M, Elnegouly M, Hasab Allah MS, Elshazli M, Mikhail HMS, Yosry A. Transluminal retroperitoneal endoscopic necrosectomy with the use of hydrogen peroxide and without external irrigation: a novel approach for the treatment of walled-off pancreatic necrosis. Surg Endosc. 2013 Oct 13;27(10):3911–20.
88. Garg R, Gupta S, Singh A, Simonson MT, Rustagi T, Chahal P. Hydrogen peroxide assisted endoscopic necrosectomy for walled-off pancreatic necrosis: A systematic review and meta-analysis. Pancreatology. 2021 Dec;21(8):1540–7.
89. Bhargava V, Gupta R, Vaswani P, Jha B, Rana SS, Gorsi U, et al. Streptokinase irrigation through a percutaneous catheter helps decrease the need for necrosectomy and reduces mortality in necrotizing pancreatitis as part of a step-up approach. Surgery. 2021 Nov;170(5):1532–7.
90. Gluck M, Ross A, Irani S, Lin O, Hauptmann E, Siegal J, et al. Endoscopic and Percutaneous Drainage of Symptomatic Walled-Off Pancreatic Necrosis Reduces Hospital Stay and Radiographic Resources. Clinical Gastroenterology and Hepatology. 2010 Dec;8(12):1083–8.
91. Gluck M, Ross A, Irani S, Lin O, Gan SI, Fotoohi M, et al. Dual Modality Drainage for Symptomatic Walled-Off Pancreatic Necrosis Reduces Length of Hospitalization, Radiological Procedures, and Number of Endoscopies Compared to Standard Percutaneous Drainage. Journal of Gastrointestinal Surgery. 2012 Feb 29;16(2):248–57.
92. Jagielski M, Smoczyński M, Studniarek M, Adrych K. Endoscopic drainage combined with percutaneous drainage in treatment of walled-off pancreatic necrosis – a single-center experience. Gastroenterology Review. 2018;13(2):137–42.
93. Gjeorgjievski M, Bhurwal A, Chouthai AA, Abdelqader A, Gaidhane M, Shahid H, et al. Percutaneous endoscopic necrosectomy (PEN) for treatment of necrotizing pancreatitis: a systematic review and meta-analysis. Endosc Int Open. 2023 Mar;11(3):E258–67.
94. Amin S, Yang DJ, Lucas AL, Gonzalez S, DiMaio CJ. There Is No Advantage to Transpapillary Pancreatic Duct Stenting for the Transmural Endoscopic Drainage of Pancreatic Fluid Collections: A Meta-Analysis. Clin Endosc. 2017 Jul;50(4):388–94.
95. Negm AA, Poos H, Kruck E, Vonberg RP, Domagk D, Madisch A, et al. Microbiologic analysis of peri-pancreatic fluid collected during EUS in patients with pancreatitis: impact on antibiotic therapy. Gastrointest Endosc. 2013 Aug;78(2):303–11.
96. Negm AA, Poos H, Kruck E, Vonberg RP, Domagk D, Madisch A, et al. Microbiologic analysis of peri-pancreatic fluid collected during EUS in patients with pancreatitis: impact on antibiotic therapy. Gastrointest Endosc. 2013 Aug;78(2):303–11.
97. Garret C, Canet E, Corvec S, Boutoille D, Péron M, Archambeaud I, et al. Impact of prior antibiotics on infected pancreatic necrosis microbiology in ICU patients: a retrospective cohort study. Ann Intensive Care. 2020 Jun 15;10(1):82.
98. Jain S, Mahapatra SJ, Gupta S, Shalimar, Garg PK. Infected Pancreatic Necrosis due to Multidrug-Resistant Organisms and Persistent Organ failure Predict Mortality in Acute Pancreatitis. Clin Transl Gastroenterol. 2018 Oct;9(10):e190.
99. Al-Omran M, Albalawi ZH, Tashkandi MF, Al-Ansary LA. Enteral versus parenteral nutrition for acute pancreatitis. Cochrane Database Syst Rev. 2010 Jan 20;2010(1):CD002837.
100. Bakker OJ, van Brunschot S, van Santvoort HC, Besselink MG, Bollen TL, Boermeester MA, et al. Early versus on-demand nasoenteric tube feeding in acute pancreatitis. N Engl J Med. 2014 Nov 20;371(21):1983–93.
101. Dua MM, Worhunsky DJ, Malhotra L, Park WG, Poultsides GA, Norton JA, et al. Transgastric pancreatic necrosectomy-expedited return to prepancreatitis health. J Surg Res. 2017 Nov;219:11–7.
102. Dutta AK, Goel A, Kirubakaran R, Chacko A, Tharyan P. Nasogastric versus nasojejunal tube feeding for severe acute pancreatitis. Cochrane Database Syst Rev. 2020 Mar 26;3(3):CD010582.
103. Siddiqui AA, Adler DG, Nieto J, Shah JN, Binmoeller KF, Kane S, et al. EUS-guided drainage of peripancreatic fluid collections and necrosis by using a novel lumen-apposing stent: a large retrospective, multicenter U.S. experience (with videos). Gastrointest Endosc. 2016 Apr;83(4):699–707.
104. Nemoto Y, Attam R, Arain MA, Trikudanathan G, Mallery S, Beilman GJ, et al. Interventions for walled off necrosis using an algorithm based endoscopic step-up approach: Outcomes in a large cohort of patients. Pancreatology. 2017;17(5):663–8.
105. Rana SS, Sharma V, Sharma R, Gupta R, Bhasin DK. Endoscopic ultrasound guided transmural drainage of walled off pancreatic necrosis using a “step - up” approach: A single centre experience. Pancreatology. 2017;17(2):203–8.
106. Chandrasekhara V, Barthet M, Devière J, Bazerbachi F, Lakhtakia S, Easler JJ, et al. Safety and efficacy of lumen-apposing metal stents versus plastic stents to treat walled-off pancreatic necrosis: systematic review and meta-analysis. Endosc Int Open. 2020 Nov;8(11):E1639–53.
107. Seicean A, Pojoga C, Mostean O, Bolboaca S, Ilie M, Rimbas M, et al. What is the Impact of the Proportion of Solid Necrotic Content on the Number of Necrosectomies during EUS-Guided Drainage using Lumen-Apposing Metallic Stents of Pancreatic Walled-off Necrosis ? J Gastrointestin Liver Dis. 2020 Dec 12;29(4):623–8.
108. Yan L, Dargan A, Nieto J, Shariaha RZ, Binmoeller KF, Adler DG, et al. Direct endoscopic necrosectomy at the time of transmural stent placement results in earlier resolution of complex walled-off pancreatic necrosis: Results from a large multicenter United States trial. Endosc Ultrasound. 2019;8(3):172–9.
109. Albers D, Meining A, Hann A, Ayoub YK, Schumacher B. Direct endoscopic necrosectomy in infected pancreatic necrosis using lumen-apposing metal stents: Early intervention does not compromise outcome. Endosc Int Open. 2021 Mar 22;09(03):E490–5.
110. Pawa R, Dorrell R, Clark C, Russell G, Gilliam J, Pawa S. Delayed endoscopic necrosectomy improves hospital length of stay and reduces endoscopic interventions in patients with symptomatic walled-off necrosis. DEN open. 2023 Apr;3(1):e162.
111. Bang JY, Lakhtakia S, Thakkar S, Buxbaum JL, Waxman I, Sutton B, et al. Upfront endoscopic necrosectomy or step-up endoscopic approach for infected necrotising pancreatitis (DESTIN): a single-blinded, multicentre, randomised trial. Lancet Gastroenterol Hepatol. 2024 Jan;9(1):22–33.
112. Baroud S, Chandrasekhara V, Storm AC, Law RJ, Vargas EJ, Levy MJ, et al. A Protocolized Management of Walled-Off Necrosis (WON) Reduces Time to WON Resolution and Improves Outcomes. Clin Gastroenterol Hepatol. 2023 Sep;21(10):2543-2550.e1.
113. Dayyeh BKA, Chandrasekhara V, Shah RJ, Easler JJ, Storm AC, Topazian M, et al. Combined Drainage and Protocolized Necrosectomy Through a Co-axial Lumen-Apposing Metal Stent for Pancreatic Walled-off Necrosis: A Prospective Multicenter Trial. Ann Surg. 2021 Nov 2;
114. Fugazza A, Sethi A, Trindade AJ, Troncone E, Devlin J, Khashab MA, et al. International multicenter comprehensive analysis of adverse events associated with lumen-apposing metal stent placement for pancreatic fluid collection drainage. Gastrointest Endosc. 2020 Mar;91(3):574–83.
115. Peng S, Yao Q, Fu Y, Xu X, Chen S, Ke H, et al. The severity and infection of acute pancreatitis may increase the risk of bleeding in patients undergoing EUS-guided drainage and endoscopic necrosectomy: a large retrospective cohort. Surg Endosc. 2023 Aug;37(8):6246–54.
116. Holmes I, Shinn B, Mitsuhashi S, Boortalary T, Bashir M, Kowalski T, et al. Prediction and management of bleeding during endoscopic necrosectomy for pancreatic walled-off necrosis: results of a large retrospective cohort at a tertiary referral center. Gastrointest Endosc. 2022 Mar;95(3):482–8.
117. Veitch AM, Radaelli F, Alikhan R, Dumonceau JM, Eaton D, Jerrome J, et al. Endoscopy in patients on antiplatelet or anticoagulant therapy: British Society of Gastroenterology (BSG) and European Society of Gastrointestinal Endoscopy (ESGE) guideline update. Endoscopy. 2021 Sep;53(9):947–69.
118. Powers PC, Siddiqui A, Sharaiha RZ, Yang G, Dawod E, Novikov AA, et al. Discontinuation of proton pump inhibitor use reduces the number of endoscopic procedures required for resolution of walled-off pancreatic necrosis. Endosc Ultrasound. 2019;8(3):194–8.
119. Schawkat K, Luo M, Lee K, Beker K, Meir M, Berzin TM, et al. Lumen-apposing covered self-expanding metallic stent for symptomatic pancreatic fluid collections: assessment of outcomes and complications with CT and MRI. Abdom Radiol (NY). 2021 Feb;46(2):757–67.
120. Varadarajulu S, Bang JY, Phadnis MA, Christein JD, Wilcox CM. Endoscopic Transmural Drainage of Peripancreatic Fluid Collections: Outcomes and Predictors of Treatment Success in 211 Consecutive Patients. Journal of Gastrointestinal Surgery. 2011 Nov 23;15(11):2080–8.
121. Bang JY, Hasan M, Navaneethan U, Hawes R, Varadarajulu S. Lumen-apposing metal stents (LAMS) for pancreatic fluid collection (PFC) drainage: may not be business as usual. Gut. 2017 Dec;66(12):2054–6.
122. Teoh AYB, Bapaye A, Lakhtakia S, Ratanachu T, Reknimitr R, Chan SM, et al. Prospective multicenter international study on the outcomes of a newly developed self‐approximating lumen‐apposing metallic stent for drainage of pancreatic fluid collections and endoscopic necrosectomy. Digestive Endoscopy. 2020 Mar;32(3):391–8.
123. Gkolfakis P, Bourguignon A, Arvanitakis M, Baudewyns A, Eisendrath P, Blero D, et al. Indwelling double-pigtail plastic stents for treating disconnected pancreatic duct syndrome-associated peripancreatic fluid collections: long-term safety and efficacy. Endoscopy. 2021 Nov 20;53(11):1141–9.
124. Arvanitakis M, Delhaye M, Bali MA, Matos C, De Maertelaer V, Le Moine O, et al. Pancreatic-fluid collections: a randomized controlled trial regarding stent removal after endoscopic transmural drainage. Gastrointest Endosc. 2007 Apr;65(4):609–19.
125. Timmerhuis HC, van Dijk SM, Verdonk RC, Bollen TL, Bruno MJ, Fockens P, et al. Various Modalities Accurate in Diagnosing a Disrupted or Disconnected Pancreatic Duct in Acute Pancreatitis: A Systematic Review. Dig Dis Sci. 2021 May 27;66(5):1415–24.
126. van Dijk SM, Timmerhuis HC, Verdonk RC, Reijnders E, Bruno MJ, Fockens P, et al. Treatment of disrupted and disconnected pancreatic duct in necrotizing pancreatitis: A systematic review and meta-analysis. Pancreatology. 2019 Oct;19(7):905–15.
127. Maatman TK, Roch AM, Lewellen KA, Heimberger MA, Ceppa EP, House MG, et al. Disconnected Pancreatic Duct Syndrome: Spectrum of Operative Management. Journal of Surgical Research. 2020 Mar;247:297–303.
128. Varadarajulu S, Noone TC, Tutuian R, Hawes RH, Cotton PB. Predictors of outcome in pancreatic duct disruption managed by endoscopic transpapillary stent placement. Gastrointest Endosc. 2005 Apr;61(4):568–75.
129. Chong E, Ratnayake CB, Saikia S, Nayar M, Oppong K, French JJ, et al. Endoscopic transmural drainage is associated with improved outcomes in disconnected pancreatic duct syndrome: a systematic review and meta-analysis. BMC Gastroenterol. 2021 Feb 25;21(1):87.
130. Yang D, Amin S, Gonzalez S, Mullady D, Hasak S, Gaddam S, et al. Transpapillary drainage has no added benefit on treatment outcomes in patients undergoing EUS-guided transmural drainage of pancreatic pseudocysts: a large multicenter study. Gastrointest Endosc. 2016 Apr;83(4):720–9.
131. Mukai S, Itoi T, Baron T, Sofuni A, Itokawa F, Kurihara T, et al. Endoscopic ultrasound-guided placement of plastic vs. biflanged metal stents for therapy of walled-off necrosis: a retrospective single-center series. Endoscopy. 2014 Sep 29;47(01):47–55.
132. Bang JY, Hawes R, Bartolucci A, Varadarajulu S. Efficacy of metal and plastic stents for transmural drainage of pancreatic fluid collections: A systematic review. Digestive Endoscopy. 2015 May 16;27(4):486–98.
133. Pelaez-Luna M, Vege SS, Petersen BT, Chari ST, Clain JE, Levy MJ, et al. Disconnected pancreatic duct syndrome in severe acute pancreatitis: clinical and imaging characteristics and outcomes in a cohort of 31 cases. Gastrointest Endosc. 2008 Jul;68(1):91–7.
134. Rana SS, Bhasin DK, Rao C, Sharma R, Gupta R. Consequences of long term indwelling transmural stents in patients with walled off pancreatic necrosis & disconnected pancreatic duct syndrome. Pancreatology. 2013 Sep;13(5):486–90.
135. Lawrence C, Howell DA, Stefan AM, Conklin DE, Lukens FJ, Martin RF, et al. Disconnected pancreatic tail syndrome: potential for endoscopic therapy and results of long-term follow-up. Gastrointest Endosc. 2008 Apr;67(4):673–9.
136. Bang JY, Wilcox CM, Navaneethan U, Hasan MK, Peter S, Christein J, et al. Impact of Disconnected Pancreatic Duct Syndrome on the Endoscopic Management of Pancreatic Fluid Collections. Ann Surg. 2018 Mar;267(3):561–8.
137. Wang Z, Zhao S, Meng Q, Wang S, Chen Y, Wang F, et al. Comparison of three different stents for endoscopic ultrasound‐guided drainage of pancreatic fluid collection: A large retrospective study. J Gastroenterol Hepatol. 2019 Apr 21;34(4):791–8.
138. Rana S, Shah J, Sharma R, Gupta R. Clinical and morphological consequences of permanent indwelling transmural plastic stents in disconnected pancreatic duct syndrome. Endosc Ultrasound. 2020;9(2):130.
139. Bakker OJ, van Baal MC, van Santvoort HC, Besselink MG, Poley JW, Heisterkamp J, et al. Endoscopic Transpapillary Stenting or Conservative Treatment for Pancreatic Fistulas in Necrotizing Pancreatitis. Ann Surg. 2011 May;253(5):961–7.
140. Karjula H, Saarela A, Vaarala A, Niemelä J, Mäkelä J. Endoscopic transpapillary stenting for pancreatic fistulas after necrosectomy with necrotizing pancreatitis. Surg Endosc. 2015 Jan 19;29(1):108–12.
141. Sikora SS, Khare R, Srikanth G, Kumar A, Saxena R, Kapoor VK. External Pancreatic Fistula as a Sequel to Management of Acute Severe Necrotizing Pancreatitis. Dig Surg. 2005;22(6):446–52.
142. Irani S, Gluck M, Ross A, Gan SI, Crane R, Brandabur JJ, et al. Resolving external pancreatic fistulas in patients with disconnected pancreatic duct syndrome: using rendezvous techniques to avoid surgery (with video). Gastrointest Endosc. 2012 Sep;76(3):586-593.e3.
143. Rana SS, Sharma R, Gupta R. Endoscopic treatment of refractory external pancreatic fistulae with disconnected pancreatic duct syndrome. Pancreatology. 2019 Jun;19(4):608–13.
144. Voss M. Surgical Management of Pancreaticocutaneous Fistula. Journal of Gastrointestinal Surgery. 2003 Jun;7(4):542–6.
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González-Haba Ruiz M, Betés Ibáñez M, Martínez Moreno B, Repiso Ortega A, de la Serna Higuera C, Iglesias García J, et all. Endoscopic management of pancreatic collections. Endoscopic Ultrasound Group, Spanish Society of Digestive Endoscopy (GSEED-USE) Clinical Guidelines. 10276/2024


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Publication history

Received: 16/01/2024

Accepted: 22/01/2024

Online First: 02/02/2024

Published: 01/08/2024

Article Online First time: 17 days

Article editing time: 198 days


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