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KMID : 1038120140470050429
Clinical Endoscopy
2014 Volume.47 No. 5 p.429 ~ p.431
Endoscopic Ultrasound-Guided Management of Pancreatic Pseudocysts and Walled-Off Necrosis
Bang Ji-Young

Varadarajulu Shyam
Abstract
The outcome of endoscopic management of pancreatic fluid collections is dependent on the type of collection being treated. While pseudocysts have an excellent treatment response, the outcomes are modest for walled-off pancreatic necrosis. Recent advances in cross-sectional body imaging have enabled a more accurate distinction of pancreatic fluid collections, which, in turn, facilitates the correct triage of patients to receive the appropriate treatment. Newly described endoscopic techniques and the development of dedicated accessories have improved the clinical outcomes in walled-off pancreatic necrosis, with treatment success rates comparable to that of minimally invasive surgery. This review summarizes the key concepts and provides a concise update on the endoscopic management of pancreatic fluid collections.
KEYWORD
Pancreatic necrosis, Pseudocyst, Endosonography, Drainage
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